Individual provider Active NPI

Yiju Kuo, OTR/L

  • Occupational Therapist
  • Garden Grove, CA
National Provider Identifier
1245532613
Registry record updated Apr 7, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
11483 Issued in CA
Practice address
12881 Knott St Ste 103
Garden Grove, CA 92841-3939
Phone
(714) 892-6828
Fax
(714) 898-9720
NPI assigned
Nov 17, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 7, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Occupational Therapist 225XP0200X 11483 CA
Occupational Therapist 225X00000X 11483 CA Primary

Addresses

Primary practice location

12881 Knott St Ste 103
Garden Grove, CA 92841-3939

Mailing address

12881 Knott St Ste 103
Garden Grove, CA 92841-3939
Phone (714) 892-6828

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110912000200 CA Practitioner - Occupational Therapist in Private Practice 8628249232 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Occupational Therapist in Private Practice
Education
Other, 2010
Medicare assignment
May accept Medicare assignment
Group practices
Proactive Physical Therapy and Sports Medicine IncGroup PAC ID 1557369436, 51 clinicians

Practice addresses (Care Compare)

17150 Via del Campo
Suite 200
San Diego, CA 92127-2137
Phone (858) 381-5084

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Proactive Physical Therapy & Sports Medicine Inc CurrentSince Sep 5, 2023 Accepting new patients
MDRS Spine & Sport, Inc Occupational Therapist CurrentSince Jul 10, 2023 Accepting new patients
MDRS Spine & Sport, Inc Occupational Therapist CurrentSince Jul 10, 2023 Accepting new patients

Locations

450 Rosewood Ave
Ste 105
Camarillo, CA 93010
Phone (805) 389-4781

6070 Avenida Encinas
Ste 100
Carlsbad, CA 92011
Phone (760) 444-0102

1020 Tierra del Rey
Ste A1
Chula Vista, CA 91910
Phone (619) 585-7104

19582 Beach Blvd
Ste 130
Huntington Beach, CA 92648
Phone (714) 841-6162

14150 Culver Dr
Ste 103
Irvine, CA 92604
Phone (949) 262-9142

2345 E 8th St
Ste 106
National City, CA 91950
Phone (619) 323-2040

9852 Business Park Dr
Ste A
Sacramento, CA 95827
Phone (916) 362-7962

3665 Ruffin Rd
Ste 304
San Diego, CA 92123
Phone (619) 930-9750

17150 Via del Campo
Ste 200
San Diego, CA 92127
Phone (858) 381-5084

1801 Cleveland Ave
Ste B
Santa Rosa, CA 95401
Phone (707) 526-4180

380 S Melrose Dr
Ste 208
Vista, CA 92081
Phone (760) 643-4086

Organizations & group practices 3

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": "1289952000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1743984000000",
    "number": "1245532613",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12881 KNOTT ST STE 103",
            "city": "GARDEN GROVE",
            "state": "CA",
            "postal_code": "928413939",
            "telephone_number": "714-892-6828",
            "fax_number": "714-898-9720"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12881 KNOTT ST STE 103",
            "city": "GARDEN GROVE",
            "state": "CA",
            "postal_code": "928413939",
            "telephone_number": "714-892-6828",
            "fax_number": "714-898-9720"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KUO",
        "first_name": "YIJU",
        "credential": "OTR/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-11-17",
        "last_updated": "2025-04-07",
        "certification_date": "2025-04-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225XP0200X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Pediatrics",
            "state": "CA",
            "license": "11483",
            "primary": false
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "CA",
            "license": "11483",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Garden Grove, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 7, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.