Jaclyn Van de Wetering

Primary specialty

Occupational Therapy AssistantTaxonomy code 224Z00000X

License

6267 Issued in CA

Practice address

22672 Lambert St Ste 611
Lake Forest, CA 92630-1613

Phone

(949) 329-8161

NPI assigned

Feb 17, 2020

Last updated

May 1, 2026By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Grace Speech Therapy Corp

  • Behavior Analyst
  • Lake Forest, CA
  • NPI 1942833660

  Occupational Therapy Assistant

  NPD (past)
• Sutter Valley Hospitals

  dba Memorial Medical Center

  • General Acute Care Hospital
  • Modesto, CA
  • NPI 1699129601
  NPD (past)

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

{
    "created_epoch": "1581897600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1777593600000",
    "number": "1225661341",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1805 HUNTINGTON ST APT B",
            "city": "HUNTINGTON BEACH",
            "state": "CA",
            "postal_code": "926483116",
            "telephone_number": "714-380-4211"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22672 LAMBERT ST STE 611",
            "city": "LAKE FOREST",
            "state": "CA",
            "postal_code": "926301613",
            "telephone_number": "949-329-8161"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VAN DE WETERING",
        "first_name": "JACLYN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-02-17",
        "last_updated": "2026-05-01",
        "certification_date": "2026-05-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "224Z00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapy Assistant",
            "state": "CA",
            "license": "6267",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Uptimised International LLC
• Julissa Uribe
• Arlene Valencia
• Paulina Valencia
• Ivonne Vallin, AMFT
• Alex Chadwick Van Der Ham, PA
• Todd Van Etten
• Lindsey Van, OD
• Tim Van
• Pajai Vang

• Occupational Therapy Assistant in Lake Forest, CA
• Providers in Lake Forest, 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 May 1, 2026; 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.