Individual provider Active NPI

Tristenne Ocampo Macasaet, OTRL

  • Occupational Therapist
  • Chatsworth, CA
National Provider Identifier
1114600665
Registry record updated Aug 10, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
482079 Issued in CA
Practice address
10052 Farralone Ave
Chatsworth, CA 91311-2708
Phone
(818) 301-9220
NPI assigned
Aug 10, 2023
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 10, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X 482079 CA Primary

Addresses

Primary practice location

10052 Farralone Ave
Chatsworth, CA 91311-2708

Mailing address

10052 Farralone Ave
Chatsworth, CA 91311-2708
Phone (818) 301-9220

Other names 1

  • Ms. Tristenne Vicencio Ocampo Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
482079CAMDOccupational Therapist

NPI Registry JSON

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

{
    "created_epoch": "1691625600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1691625600000",
    "number": "1114600665",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10052 FARRALONE AVE",
            "city": "CHATSWORTH",
            "state": "CA",
            "postal_code": "913112708",
            "telephone_number": "818-301-9220"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10052 FARRALONE AVE",
            "city": "CHATSWORTH",
            "state": "CA",
            "postal_code": "913112708",
            "telephone_number": "818-301-9220"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MACASAET",
        "first_name": "TRISTENNE",
        "middle_name": "OCAMPO",
        "name_prefix": "Mrs.",
        "credential": "OTRL",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-08-10",
        "last_updated": "2023-08-10",
        "certification_date": "2023-08-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "CA",
            "license": "482079",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "TRISTENNE",
            "last_name": "OCAMPO",
            "middle_name": "VICENCIO",
            "prefix": "MS.",
            "credential": "OTRL",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Chatsworth, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 10, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.