NPIMap

Organization Active NPI

Kida Academy LLC

  • Developmentally Disabled Services Day Training Agency
  • Irvine, CA
National Provider Identifier
1245487123
Registry record updated Nov 29, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Developmentally Disabled Services Day Training AgencyTaxonomy code 251C00000X
License
6262 Issued in CA
Legal business name
KIDA ACADEMY LLC
Practice address
17861 Von Karman Avenue
Irvine, CA 92614-6213
Phone
(949) 222-2214
Fax
(949) 253-7800
NPI assigned
Aug 22, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 29, 2018

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

Authorized official

Name
Brooke Leigh Hoertz, OTD, OTR/LNPI 1093095861
Title
Executive Director
Phone
(949) 222-2214

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
Developmentally Disabled Services Day Training Agency 251C00000X 6262 CA Primary

Addresses

Primary practice location

17861 Von Karman Avenue
Irvine, CA 92614-6213

Mailing address

17861 Von Karman Avenue
Irvine, CA 92614-6213
Phone (949) 222-2214

National Provider Directory

National Provider Directory

Locations

17861 Von Karman Ave
Irvine, CA 92614
Phone (949) 222-2214

Practitioners & affiliated clinicians

Practitioners 18

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

View all 18

NPI Registry JSON

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

{
    "created_epoch": "1219363200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1543449600000",
    "number": "1245487123",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17861 VON KARMAN AVENUE",
            "city": "IRVINE",
            "state": "CA",
            "postal_code": "926146213",
            "telephone_number": "949-222-2214",
            "fax_number": "949-253-7800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17861 VON KARMAN AVENUE",
            "city": "IRVINE",
            "state": "CA",
            "postal_code": "926146213",
            "telephone_number": "949-222-2214",
            "fax_number": "949-253-7800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KIDA ACADEMY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-08-22",
        "last_updated": "2018-11-29",
        "status": "A",
        "authorized_official_last_name": "HOERTZ",
        "authorized_official_first_name": "BROOKE",
        "authorized_official_middle_name": "LEIGH",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "949-222-2214",
        "authorized_official_credential": "OTD, OTR/L"
    },
    "taxonomies": [
        {
            "code": "251C00000X",
            "taxonomy_group": "",
            "desc": "Day Training, Developmentally Disabled Services",
            "state": "CA",
            "license": "6262",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Irvine, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 29, 2018; 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.