NPIMap

Organization Active NPI

Edgemoor Hospital

  • Occupational Therapy Assistant
  • Santee, CA
National Provider Identifier
1235330879
Registry record updated Sep 19, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational Therapy AssistantTaxonomy code 224Z00000X
License
OTA 781 Issued in CA
Legal business name
EDGEMOOR HOSPITAL
Practice address
9065 Edgemoor Dr
Santee, CA 92071-3037
Phone
(619) 956-2834
Fax
(619) 956-2914
NPI assigned
May 30, 2007
Last updated
Sep 19, 2007By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 19, 2007

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

Authorized official

Name
Barbara BrownNPI 1801925979
Title
Otr
Phone
(619) 956-2834

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapy AssistantGroup: 193400000X SINGLE SPECIALTY GROUP 224Z00000X OTA 781 CA Primary

Addresses

Primary practice location

9065 Edgemoor Dr
Santee, CA 92071-3037

Mailing address

10133 Carefree Dr
Santee, CA 92071-1807
Phone (619) 328-6521

National Provider Directory

National Provider Directory
Tax ID family
Polinsky Children's Center101 organizations share this tax ID, including this one

Organizations with this tax ID in the same state 24

This tax ID family is large, so up to 24 of its organizations in the same state are linked here.

View all 24

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": "1180483200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1190160000000",
    "number": "1235330879",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10133 CAREFREE DR",
            "city": "SANTEE",
            "state": "CA",
            "postal_code": "920711807",
            "telephone_number": "619-328-6521"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9065 EDGEMOOR DR",
            "city": "SANTEE",
            "state": "CA",
            "postal_code": "920713037",
            "telephone_number": "619-956-2834",
            "fax_number": "619-956-2914"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EDGEMOOR HOSPITAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-30",
        "last_updated": "2007-09-19",
        "status": "A",
        "authorized_official_last_name": "BROWN",
        "authorized_official_first_name": "BARBARA",
        "authorized_official_title_or_position": "OTR",
        "authorized_official_telephone_number": "619-956-2834"
    },
    "taxonomies": [
        {
            "code": "224Z00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Occupational Therapy Assistant",
            "state": "CA",
            "license": "OTA 781",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Santee, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 19, 2007; 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.