Active NPI
Keith H Canlapan, O.T.
- Occupational Therapist
- Walnut, CA
National Provider Identifier
1164756540
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.
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- OT10171
- 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, 2011
- Sex
- Male
- 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 | 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
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.
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| OT10171 | CA | MD | Occupational Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| JH Physical Therapy Inc | Past | Accepting new patients | |
| NK Rehab Inc | Occupational Therapist | Past | 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.
-
- Physical Rehabilitation Occupational Therapist
- Orange, CA
- NPI 1386978765
-
- Occupational Therapist
- Diamond Bar, CA
- NPI 1730475609
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
- Brain Training Institute LLC
- Brainstorm Telepsych Nursing, Inc.
- California Comfort Care LLC
- California Home Health Specialist, Inc.
- Nancy Canales
- Capri Home Health Agency, Inc. (Prolife Home Health Corporation)
- Shemika D. Carter, NURSE PRACTITIONER
- Center of Regenerative Medicine Physician Assistant Services Inc
- Alan Ceralde
- Cerebrate, a Licensed Clinical Social Worker Professional Corporation
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 17, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; OIG LEIE.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.