Kevin Paul, COTA/L

Primary specialty

Occupational Therapy AssistantTaxonomy code 224Z00000X

License

358503 Issued in CA

Practice address

39950 Vista del Sol
Rancho Mirage, CA 92270-3206

Phone

(760) 340-0053

NPI assigned

Feb 14, 2023

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1676332800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1676332800000",
    "number": "1194422766",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "480 BRADSHAW LN # 6",
            "city": "PALM SPRINGS",
            "state": "CA",
            "postal_code": "922627950",
            "telephone_number": "909-528-6760"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "39950 VISTA DEL SOL",
            "city": "RANCHO MIRAGE",
            "state": "CA",
            "postal_code": "922703206",
            "telephone_number": "760-340-0053"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PAUL",
        "first_name": "KEVIN",
        "credential": "COTA/L",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2023-02-14",
        "last_updated": "2023-02-14",
        "certification_date": "2023-02-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "224Z00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Occupational Therapy Assistant",
            "state": "CA",
            "license": "358503",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Vallari S Patel, M.D.
• Dewayne Patterson Sr.
• Patricia Ellen Patton, PHD
• Vinod Kumar Patwa, M.D.
• Paul Biskar MD a Medical Corporation
• Linda L Paulson, MFT
• Theresa Marie Payne, NP
• Ashley Payton, DO
• Leyra Teresa Pelicano-Goers, DNP, AGPCNP-BC, RN
• Ceasar J Perez, FNP

• Occupational Therapy Assistant in Rancho Mirage, CA
• Providers in Rancho Mirage, CA by specialty
• Occupational Therapy Assistant in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 14, 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.

Verify at the official NPI Registry.