Individual provider Active NPI

Nicola Grun

  • Occupational Therapist
  • Oxnard, CA
National Provider Identifier
1245760776
Registry record updated Jan 15, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
19504 Issued in CA
Practice address
2221 Wankel Way
Oxnard, CA 93030-0192
Phone
(805) 988-0448
Fax
(805) 988-3070
NPI assigned
Jun 18, 2017
Last updated
Jan 15, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 15, 2026

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 19504 CA Primary

Addresses

Primary practice location

2221 Wankel Way
Oxnard, CA 93030-0192

Mailing address

1203 Flynn Rd Unit 160
Camarillo, CA 93012-6203
Phone (805) 804-4168

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200127001033 CA Practitioner - Occupational Therapist in Private Practice 5193098804 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Occupational Therapist in Private Practice
Education
University of North Dakota School of Medicine, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

2895 Loma Vista Rd
Suite H
Ventura, CA 93003-1542
Phone (805) 765-4773

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Ventura Orthopedics Medical Group, Inc. CurrentSince Jan 19, 2026 Accepting new patients
Ventura Orthopedics Medical Group, Inc. CurrentSince Jan 19, 2026 Accepting new patients
Two Trees Physical Therapy & Wellness Inc Occupational Therapist CurrentSince Jan 6, 2020 Accepting new patients
Two Trees Physical Therapy & Wellness Inc CurrentSince Jan 6, 2020 Accepting new patients

Locations

1203 Flynn Rd
Unit 160
Camarillo, CA 93012
Phone (805) 306-9700

2051 Statham Blvd
Oxnard, CA 93033
Phone (805) 250-3375

2221 Wankel Way
Oxnard, CA 93030
Phone (805) 988-9366

1855 Cochran St
Ste 109
Simi Valley, CA 93065
Phone (805) 526-2311

137 E Thousand Oaks Blvd
Thousand Oaks, CA 91360
Phone (805) 379-4574

2895 Loma Vista Rd
Ste H
Ventura, CA 93003
Phone (805) 269-6316

3418 Loma Vista Rd
Ste A
Ventura, CA 93003
Phone (805) 642-8565

3525 Loma Vista Rd
Ste C
Ventura, CA 93003
Phone (805) 652-6955

Organizations & group practices 4

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

NPI Registry JSON

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

{
    "created_epoch": "1497744000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1768435200000",
    "number": "1245760776",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1203 FLYNN RD UNIT 160",
            "city": "CAMARILLO",
            "state": "CA",
            "postal_code": "930126203",
            "telephone_number": "805-804-4168",
            "fax_number": "805-830-1177"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2221 WANKEL WAY",
            "city": "OXNARD",
            "state": "CA",
            "postal_code": "930300192",
            "telephone_number": "805-988-0448",
            "fax_number": "805-988-3070"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRUN",
        "first_name": "NICOLA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-06-18",
        "last_updated": "2026-01-15",
        "certification_date": "2026-01-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "CA",
            "license": "19504",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oxnard, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 15, 2026; 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.