Naomi Jaye Achondo, OTD, OTR/L, SWC
Individual provider Active NPI Occupational Therapist · Pomona, CA
NPI 1245429356 · NPPES record last updated Sep 17, 2020
Key facts
- NPI
- 1245429356
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Occupational Therapist 225X00000X
- License
- 8320 (CA)
- Practice address
- 3629 Lynoak Dr
Unit B
Pomona, CA 91711-9171 - Phone
- (909) 833-1099
- Fax
- (888) 856-3880
- NPI assigned
- Oct 15, 2007
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 2
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in CA
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20120525000493 | CA | Practitioner - Occupational Therapist in Private Practice | 4183887359 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 8320 | CA | MD | Pediatric Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Nja Therapy Services, Inc. | Current |
Accepting new patients |
Locations
630 S Indian Hill Blvd
Ste 5
Claremont, CA 91711
Phone (909) 451-8521
310 N Indian Hill Blvd
Claremont, CA 91711
Phone (909) 244-8902
1655 E 6th St
Ste 204
Corona, CA 92879
Phone (909) 833-1099
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Occupational Therapist | 225XP0200X | 8320 | CA | |
| Occupational Therapist | 225X00000X | 8320 | CA | Yes |
Addresses
Primary practice location
3629 Lynoak Dr
Unit B
Pomona, CA 91711-9171
Mailing address
310 N Indian Hill Blvd # 413
Claremont, CA 91711-4611
Phone (909) 833-1099
Other practice location 1
1655 E 6th St # 204
Corona, CA 92879-1732
Phone (909) 833-1099
Other providers in Pomona, CA
- Acevedo Medical Group, a Medical Corporation
- Briana Acevedo
- Cynthia Ann Acevedo
- Jacqueline Acevedo
- Casandra Aceves
- Elizabeth Gabrielle Acker
- David Acosta
- Ileana Acosta
- Jacquelyn Acosta
- Shawna Marie Acosta
All providers in Pomona, CA · Occupational Therapist in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 17, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.