Active NPI
Anne M Smura
- Occupational Therapist
- Fountain Valley, CA
National Provider Identifier
1154527752
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 4486
- Practice address
- 18643 Brookhurst St
Fountain Valley, CA 92708-6709 - Phone
- (714) 962-3867
- Fax
- (714) 962-3477
- NPI assigned
- Jun 21, 2007
- 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 | 4486 | CA | Primary |
Addresses
Primary practice location
18643 Brookhurst St
Fountain Valley, CA 92708-6709
Mailing address
24 Hammond Ste C
Irvine, CA 92618-1680
Phone (949) 770-6022
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4486 | CA | MD | Mental Health Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1182384000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1154527752",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "24 HAMMOND STE C",
"city": "IRVINE",
"state": "CA",
"postal_code": "926181680",
"telephone_number": "949-770-6022",
"fax_number": "949-770-7084"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "18643 BROOKHURST ST",
"city": "FOUNTAIN VALLEY",
"state": "CA",
"postal_code": "927086709",
"telephone_number": "714-962-3867",
"fax_number": "714-962-3477"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SMURA",
"first_name": "ANNE",
"middle_name": "M",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-06-21",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "CA",
"license": "4486",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Fountain Valley, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.