Active NPI
Jacqueline Caonguyen, OTR/L
- Occupational Therapist
- Escondido, CA
National Provider Identifier
1194418301
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 16569
- Practice address
- 1450 Fallsview PL
Escondido, CA 92027-1066 - Phone
- (626) 239-8753
- NPI assigned
- Jun 1, 2023
- Sex
- Female
- Sole proprietor
- Yes
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 | 16569 | CA | Primary |
Addresses
Primary practice location
1450 Fallsview PL
Escondido, CA 92027-1066
Mailing address
1450 Fallsview PL
Escondido, CA 92027-1066
Phone (626) 239-8753
Other names 1
- Jacqueline Koh
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 |
|---|---|---|---|
| 16569 | CA | MD | Chiropractor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1685577600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1685577600000",
"number": "1194418301",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1450 FALLSVIEW PL",
"city": "ESCONDIDO",
"state": "CA",
"postal_code": "920271066",
"telephone_number": "626-239-8753"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1450 FALLSVIEW PL",
"city": "ESCONDIDO",
"state": "CA",
"postal_code": "920271066",
"telephone_number": "626-239-8753"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CAONGUYEN",
"first_name": "JACQUELINE",
"credential": "OTR/L",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2023-06-01",
"last_updated": "2023-06-01",
"certification_date": "2023-06-01",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "CA",
"license": "16569",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "JACQUELINE",
"last_name": "KOH",
"credential": "OTR/L",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Escondido, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 1, 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.