Individual provider Active NPI

Sepanta Yousefian, OTD, OTR/L

  • Hand Occupational Therapist
  • Anaheim, CA
National Provider Identifier
1093472201
Registry record updated Nov 22, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hand Occupational TherapistTaxonomy code 225XH1200X
License
23010 Issued in CA
Practice address
401 N Brookhurst St Ste 100
Anaheim, CA 92801-5614
Phone
(714) 563-2318
NPI assigned
Nov 22, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 22, 2021

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Hand Occupational Therapist 225XH1200X 23010 CA Primary

Addresses

Primary practice location

401 N Brookhurst St Ste 100
Anaheim, CA 92801-5614

Mailing address

22 Odyssey Ste 165
Irvine, CA 92618-3194
Phone (949) 727-2192

Other practice location 1

1520 Brookhollow Dr Ste 37
Santa Ana, CA 92705-5427
Phone (714) 953-7330

Other practice location 2

22 Odyssey Ste 165
Irvine, CA 92618-3194
Phone (949) 727-2192

Other identifiers 1

IdentifierTypeStateIssuer
S81813414OtherMADRIVER'S LICENSE

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL WebPT

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220606002341 CA Practitioner - Occupational Therapist in Private Practice 5496133316 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Occupational Therapist in Private Practice
Education
Tulane University School of Medicine, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Advance Occupational and Hand Therapy CenterGroup PAC ID 0143251579, 5 clinicians

Practice addresses (Care Compare)

1520 Brookhollow Dr
Suite 37
Santa Ana, CA 92705-5427
Phone (714) 953-7330

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
23010CAMDHand Occupational Therapist

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1637539200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1637539200000",
    "number": "1093472201",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22 ODYSSEY STE 165",
            "city": "IRVINE",
            "state": "CA",
            "postal_code": "926183194",
            "telephone_number": "949-727-2192"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "401 N BROOKHURST ST STE 100",
            "city": "ANAHEIM",
            "state": "CA",
            "postal_code": "928015614",
            "telephone_number": "714-563-2318"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1520 Brookhollow Dr Ste 37",
            "address_purpose": "LOCATION",
            "city": "Santa Ana",
            "state": "CA",
            "postal_code": "927055427",
            "country_code": "US",
            "telephone_number": "714-953-7330",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "22 Odyssey Ste 165",
            "address_purpose": "LOCATION",
            "city": "Irvine",
            "state": "CA",
            "postal_code": "926183194",
            "country_code": "US",
            "telephone_number": "949-727-2192",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "YOUSEFIAN",
        "first_name": "SEPANTA",
        "credential": "OTD, OTR/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-11-22",
        "last_updated": "2021-11-22",
        "certification_date": "2021-11-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225XH1200X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Hand",
            "state": "CA",
            "license": "23010",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DRIVER'S LICENSE",
            "identifier": "S81813414",
            "state": "MA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "WebPT",
            "affiliation": "N",
            "address_1": "401 N Brookhurst St Ste 100",
            "city": "Anaheim",
            "state": "CA",
            "country_code": "US",
            "postal_code": "928015614",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Anaheim, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 22, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.