Active NPI
Mary Grace R Perez, OTR/L
- Occupational Therapist
- Rancho Cucamonga, CA
National Provider Identifier
1114863156
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 23897
- Practice address
- 8825 Base Line Rd
Rancho Cucamonga, CA 91730-1113 - Phone
- (626) 510-0940
- NPI assigned
- Apr 23, 2026
- 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 |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | 23897 | CA | Primary |
Addresses
Primary practice location
8825 Base Line Rd
Rancho Cucamonga, CA 91730-1113
Mailing address
6265 Mayberry Ave
Rancho Cucamonga, CA 91737-3742
Phone (626) 510-0940
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
- Other, 2022
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
24441 Calle Sonora
Laguna Woods, CA 92637-7714
Phone (949) 243-5710
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
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": "1776902400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1776902400000",
"number": "1114863156",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6265 MAYBERRY AVE",
"city": "RANCHO CUCAMONGA",
"state": "CA",
"postal_code": "917373742",
"telephone_number": "626-510-0940"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8825 BASE LINE RD",
"city": "RANCHO CUCAMONGA",
"state": "CA",
"postal_code": "917301113",
"telephone_number": "626-510-0940"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PEREZ",
"first_name": "MARY GRACE",
"middle_name": "R",
"credential": "OTR/L",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2026-04-23",
"last_updated": "2026-04-23",
"certification_date": "2026-04-23",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "CA",
"license": "23897",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Rancho Cucamonga, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 23, 2026; 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.