NPIMap

Organization Active NPI

Action Diversified Inc.

  • Occupational Therapist
  • Irvine, CA
National Provider Identifier
1184103160
Registry record updated Aug 9, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
9591 Issued in CA
Legal business name
ACTION DIVERSIFIED INC.
Practice address
65 Long MDW
Irvine, CA 92620-2825
Phone
(949) 394-6587
NPI assigned
Aug 9, 2018
Last updated
Aug 9, 2018By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 9, 2018

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

Authorized official

Name
Michelle C Bronner, OTR/LNPI 1073854568
Title
President
Phone
(949) 394-6587

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X 9591 CA Primary

Addresses

Primary practice location

65 Long MDW
Irvine, CA 92620-2825

Mailing address

17595 Harvard Ave Ste C2230
Irvine, CA 92614-8516
Phone (949) 394-6587

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1533772800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1533772800000",
    "number": "1184103160",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17595 HARVARD AVE STE C2230",
            "city": "IRVINE",
            "state": "CA",
            "postal_code": "926148516",
            "telephone_number": "949-394-6587"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "65 LONG MDW",
            "city": "IRVINE",
            "state": "CA",
            "postal_code": "926202825",
            "telephone_number": "949-394-6587"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ACTION DIVERSIFIED INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-08-09",
        "last_updated": "2018-08-09",
        "status": "A",
        "authorized_official_last_name": "BRONNER",
        "authorized_official_first_name": "MICHELLE",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "949-394-6587",
        "authorized_official_credential": "OTR/L"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "CA",
            "license": "9591",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Irvine, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 9, 2018; 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.