Active NPI
Mimiy Ning Yim, OTR
- Occupational Therapist
- Rowland Heights, CA
National Provider Identifier
1114208873
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 7931
- Practice address
- 19239 Colima Rd
Rowland Heights, CA 91748-3005 - Phone
- (626) 616-8695
- NPI assigned
- Sep 7, 2011
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | 7931 | CA | Primary |
Addresses
Primary practice location
19239 Colima Rd
Rowland Heights, CA 91748-3005
Mailing address
4871 Wiota St
Los Angeles, CA 90041-2452
Phone (626) 616-8695
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20110928000247 | CA | Practitioner - Occupational Therapist in Private Practice | 2769653559 | Practice locations: Rowland Heights, CA; Alhambra, CA |
Care Compare profile
Medicare Care Compare- Specialty
- Occupational Therapist in Private Practice
- Education
- Other, 2005
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
320 W Valley Blvd
Alhambra, CA 91803-3338
Phone (626) 616-8695
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 7931 | CA | MD | Speech-Language Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1315353600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1503273600000",
"number": "1114208873",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4871 WIOTA ST",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900412452",
"telephone_number": "626-616-8695"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "19239 COLIMA RD",
"city": "ROWLAND HEIGHTS",
"state": "CA",
"postal_code": "917483005",
"telephone_number": "626-616-8695"
}
],
"practiceLocations": [],
"basic": {
"last_name": "YIM",
"first_name": "MIMIY",
"middle_name": "NING",
"credential": "OTR",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2011-09-07",
"last_updated": "2017-08-21",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "CA",
"license": "7931",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Rowland Heights, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 21, 2017; 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.