Active NPI
Cindy Fan
- Occupational Therapist
- Santa Ana, CA
National Provider Identifier
1245508118
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 895
- Practice address
- 1538 E Warner Ave
Suite a
Santa Ana, CA 92705-5476 - Phone
- (714) 434-4773
- NPI assigned
- Dec 7, 2011
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | 895 | CA | Primary |
Addresses
Primary practice location
1538 E Warner Ave
Suite a
Santa Ana, CA 92705-5476
Mailing address
417 E Yale Loop
Irvine, CA 92614-7551
Phone (949) 336-7231
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 895 | CA | MD | Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1323216000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1323216000000",
"number": "1245508118",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "417 E YALE LOOP",
"city": "IRVINE",
"state": "CA",
"postal_code": "926147551",
"telephone_number": "949-336-7231"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1538 E WARNER AVE",
"address_2": "SUITE A",
"city": "SANTA ANA",
"state": "CA",
"postal_code": "927055476",
"telephone_number": "714-434-4773"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FAN",
"first_name": "CINDY",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2011-12-07",
"last_updated": "2011-12-07",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "CA",
"license": "895",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Santa Ana, CA
- Family Care Hospice & Home Health, Inc. (Family Care Hosppice & Home Health, Inc.)
- Family Medical Clinics of California, Inc
- Family Planning Associates Medical Group Inc (FPA Women's Health)
- Family Planning Associates Medical Group Inc (FPA Women's Health)
- Family Preservation Community Services (CYS Family Preservation Community Services Wraparound)
- Rebecca Fan
- Michelle M Fang, D.D.S.
- Tamia Fanner
- Michael Fanous
- Colin Farabee
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 7, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.