Active NPI
Stephanie Garcia Lomboy, OTR/L, CLT, CSRS
- Physical Rehabilitation Occupational Therapist
- Poway, CA
National Provider Identifier
1184330656
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Rehabilitation Occupational Therapist
- License
- 61370418
- Practice address
- 15615 Pomerado Rd
Poway, CA 92064-2405 - Phone
- (858) 613-4800
- NPI assigned
- Jan 27, 2023
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Rehabilitation Occupational Therapist | 225XP0019X | 21058 | CA | |
| Physical Rehabilitation Occupational Therapist | 225XP0019X | 434981 | ||
| Physical Rehabilitation Occupational Therapist | 225XP0019X | 61370418 | WA | Primary |
Addresses
Primary practice location
15615 Pomerado Rd
Poway, CA 92064-2405
Mailing address
3048 Wohlford Dr
Escondido, CA 92027-5273
Phone (858) 349-3517
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 21058 | CA | MD | Physical Rehabilitation Occupational Therapist |
| 61370418 | WA | MD | Physical Rehabilitation Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1674777600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1674777600000",
"number": "1184330656",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3048 WOHLFORD DR",
"city": "ESCONDIDO",
"state": "CA",
"postal_code": "920275273",
"telephone_number": "858-349-3517"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "15615 POMERADO RD",
"city": "POWAY",
"state": "CA",
"postal_code": "920642405",
"telephone_number": "858-613-4800"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LOMBOY",
"first_name": "STEPHANIE",
"middle_name": "GARCIA",
"name_prefix": "Miss",
"credential": "OTR/L, CLT, CSRS",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2023-01-27",
"last_updated": "2023-01-27",
"certification_date": "2023-01-26",
"status": "A"
},
"taxonomies": [
{
"code": "225XP0019X",
"taxonomy_group": "",
"desc": "Occupational Therapist, Physical Rehabilitation",
"state": "CA",
"license": "21058",
"primary": false
},
{
"code": "225XP0019X",
"taxonomy_group": "",
"desc": "Occupational Therapist, Physical Rehabilitation",
"state": null,
"license": "434981",
"primary": false
},
{
"code": "225XP0019X",
"taxonomy_group": "",
"desc": "Occupational Therapist, Physical Rehabilitation",
"state": "WA",
"license": "61370418",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Poway, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 27, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.