Organization Active NPI

Tiny Triumphs Pediatric OT

  • Pediatric Occupational Therapist
  • San Gabriel, CA
National Provider Identifier
1205661220
Registry record updated Sep 9, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Occupational TherapistTaxonomy code 225XP0200X
Legal business name
TINY TRIUMPHS PEDIATRIC OT
Practice address
1045 S Pine St
San Gabriel, CA 91776-3136
Phone
(323) 402-3626
NPI assigned
Sep 9, 2024
Last updated
Sep 9, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 9, 2024

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

Authorized official

Name
Zaira Penaloza, MS, OTR/LNPI 1104564103
Title
Ceo
Phone
(323) 402-3626

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Occupational TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 225XP0200X Primary

Addresses

Primary practice location

1045 S Pine St
San Gabriel, CA 91776-3136

Mailing address

1613 Chelsea Rd Ste 844
San Marino, CA 91108-2419
Phone (626) 289-0102

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1725840000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1725840000000",
    "number": "1205661220",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1613 CHELSEA RD STE 844",
            "city": "SAN MARINO",
            "state": "CA",
            "postal_code": "911082419",
            "telephone_number": "626-289-0102"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1045 S PINE ST",
            "city": "SAN GABRIEL",
            "state": "CA",
            "postal_code": "917763136",
            "telephone_number": "323-402-3626"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TINY TRIUMPHS PEDIATRIC OT",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-09-09",
        "last_updated": "2024-09-09",
        "certification_date": "2024-09-08",
        "status": "A",
        "authorized_official_last_name": "PENALOZA",
        "authorized_official_first_name": "ZAIRA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "323-402-3626",
        "authorized_official_credential": "MS, OTR/L"
    },
    "taxonomies": [
        {
            "code": "225XP0200X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Occupational Therapist, Pediatrics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Gabriel, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 2024; 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.