Individual provider Active NPI

Charmaine Alexis Bolus Pasion

  • Occupational Therapist
  • San Diego, CA
National Provider Identifier
1245088806
Registry record updated Jun 26, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
Practice address
2999 Health Center Dr
San Diego, CA 92123-2762
Phone
(858) 939-3866
NPI assigned
May 8, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 26, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X Primary

Addresses

Primary practice location

2999 Health Center Dr
San Diego, CA 92123-2762

Mailing address

1318 Borrego Springs Rd
Chula Vista, CA 91915-1508
Phone (805) 815-5807

Other practice location 1

1415 Ridgeback Rd Ste 21
Chula Vista, CA 91910-6984
Phone (619) 207-0984

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

Practice roles

OrganizationSpecialtyStatusNew patients
Pediatric Therapy Works Speech-Language and Development Co Occupational Therapist CurrentSince May 1, 2024 Accepting new patients
Pediatric Therapy Works, Inc. PastSince May 1, 2024 Accepting new patients

Locations

1415 Ridgeback Rd
Ste 21
Chula Vista, CA 91910
Phone (619) 207-0984

Organizations & group practices 2

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

NPI Registry JSON

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

{
    "created_epoch": "1715126400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1719360000000",
    "number": "1245088806",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1318 BORREGO SPRINGS RD",
            "city": "CHULA VISTA",
            "state": "CA",
            "postal_code": "919151508",
            "telephone_number": "805-815-5807"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2999 HEALTH CENTER DR",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921232762",
            "telephone_number": "858-939-3866"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1415 Ridgeback Rd Ste 21",
            "address_purpose": "LOCATION",
            "city": "Chula Vista",
            "state": "CA",
            "postal_code": "919106984",
            "country_code": "US",
            "telephone_number": "619-207-0984",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PASION",
        "first_name": "CHARMAINE ALEXIS",
        "middle_name": "BOLUS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-05-08",
        "last_updated": "2024-06-26",
        "certification_date": "2024-06-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": null,
            "license": null,
            "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 Jun 26, 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.