Active NPI
Caitlin Linas Medes, MOT, OTR/L, CPAM
- Occupational Therapist
- Loma Linda, CA
National Provider Identifier
1205364106
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- Practice address
- 11406 Loma Linda Dr
Loma Linda, CA 92354-3711 - Phone
- (909) 558-6144
- NPI assigned
- May 23, 2017
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | Primary |
Addresses
Primary practice location
11406 Loma Linda Dr
Loma Linda, CA 92354-3711
Mailing address
17 Devonwood Dr
Trabuco Canyon, CA 92679-5137
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1495497600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1599696000000",
"number": "1205364106",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "17 DEVONWOOD DR",
"city": "TRABUCO CANYON",
"state": "CA",
"postal_code": "926795137"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11406 LOMA LINDA DR",
"city": "LOMA LINDA",
"state": "CA",
"postal_code": "923543711",
"telephone_number": "909-558-6144"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MEDES",
"first_name": "CAITLIN",
"middle_name": "LINAS",
"credential": "MOT, OTR/L, CPAM",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-05-23",
"last_updated": "2020-09-10",
"certification_date": "2020-09-10",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Loma Linda, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.