Individual provider Active NPI

Diane L. Lindsey, OTA/L

  • Occupational Therapy Assistant
  • San Diego, CA
National Provider Identifier
1205143872
Registry record updated Sep 2, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational Therapy AssistantTaxonomy code 224Z00000X
License
OTA 1817 Issued in CA
Practice address
4655 Ruffner St
Suite 270
San Diego, CA 92111-2275
Phone
(858) 505-0939
Fax
(858) 573-0659
NPI assigned
Sep 2, 2010
Last updated
Sep 2, 2010By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 2, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapy Assistant 224Z00000X OTA 1817 CA Primary

Addresses

Primary practice location

4655 Ruffner St
Suite 270
San Diego, CA 92111-2275

Mailing address

24301 Carlton CT
Laguna Niguel, CA 92677-3718
Phone (949) 643-9417

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

LicenseStateTypeSpecialty
OTA 1817CAMDOccupational Therapy Assistant

NPI Registry JSON

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

{
    "created_epoch": "1283385600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1283385600000",
    "number": "1205143872",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24301 CARLTON CT",
            "city": "LAGUNA NIGUEL",
            "state": "CA",
            "postal_code": "926773718",
            "telephone_number": "949-643-9417",
            "fax_number": "949-643-9427"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4655 RUFFNER ST",
            "address_2": "SUITE 270",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921112275",
            "telephone_number": "858-505-0939",
            "fax_number": "858-573-0659"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LINDSEY",
        "first_name": "DIANE",
        "middle_name": "L.",
        "name_prefix": "Mrs.",
        "credential": "OTA/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-09-02",
        "last_updated": "2010-09-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "224Z00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapy Assistant",
            "state": "CA",
            "license": "OTA 1817",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Diego, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 2, 2010; 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.