Active NPI
Sepanta Yousefian, OTD, OTR/L
- Hand Occupational Therapist
- Anaheim, CA
National Provider Identifier
1093472201
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Hand Occupational Therapist
- License
- 23010
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| S81813414 | Other | MA | DRIVER'S LICENSE |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Other URL | WebPT |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
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
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
| License | State | Type | Specialty |
|---|---|---|---|
| 23010 | CA | MD | Hand 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.
-
- Physical Therapist
- Santa Ana, CA
- NPI 1093746752
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.