Individual provider Active NPI

Keith H Canlapan, O.T.

  • Occupational Therapist
  • Walnut, CA
National Provider Identifier
1164756540
Registry record updated Jun 17, 2011
On this page

OIG exclusion record

The HHS Office of Inspector General’s List of Excluded Individuals/Entities (LEIE) contains a record with this NPI:

  • Section 1128a(1) exclusion effective Sep 20, 2021.

Matched on NPI only. Confirm current status with the OIG exclusions search before relying on it.

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
OT10171 Issued in CA
Practice address
355 S Lemon Ave
Suite # G
Walnut, CA 91789-2737
Phone
(909) 594-3949
NPI assigned
Oct 1, 2009
Last updated
Jun 17, 2011By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 17, 2011

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 OT10171 CA Primary

Addresses

Primary practice location

355 S Lemon Ave
Suite # G
Walnut, CA 91789-2737

Mailing address

355 S Lemon Ave
Suite # G
Walnut, CA 91789-2737
Phone (909) 594-3949

Other names 1

  • Keith H Canlapan Other 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
HHS exclusion list flag
Flagged The directory lists this NPI on an HHS exclusion list. Confirm with the OIG exclusions search.

State licenses

LicenseStateTypeSpecialty
OT10171CAMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
JH Physical Therapy Inc Past Accepting new patients
NK Rehab Inc Occupational Therapist PastSince Jun 3, 2013 Accepting new patients

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1254355200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1308268800000",
    "number": "1164756540",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "355 S LEMON AVE",
            "address_2": "SUITE # G",
            "city": "WALNUT",
            "state": "CA",
            "postal_code": "917892737",
            "telephone_number": "909-594-3949"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "355 S LEMON AVE",
            "address_2": "SUITE # G",
            "city": "WALNUT",
            "state": "CA",
            "postal_code": "917892737",
            "telephone_number": "909-594-3949"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CANLAPAN",
        "first_name": "KEITH",
        "middle_name": "H",
        "credential": "O.T.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-10-01",
        "last_updated": "2011-06-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "CA",
            "license": "OT10171",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KEITH",
            "last_name": "CANLAPAN",
            "middle_name": "H",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Walnut, CA

Sources for this page

Verify at the official NPI Registry.