Active NPI
Jeong M Nam
- Occupational Therapist
- Valencia, CA
National Provider Identifier
1255953386
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 6522
- Practice address
- 28677 Parkside Dr
Valencia, CA 91354-3075 - Phone
- (213) 700-4112
- NPI assigned
- May 12, 2020
- 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 | 6522 | CA | Primary |
Addresses
Primary practice location
28677 Parkside Dr
Valencia, CA 91354-3075
Mailing address
28677 Parkside Dr
Valencia, CA 91354-3075
Other practice location 1
28677 Parkside Dr
Valencia, CA 91354-3075
Phone (213) 700-4112
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 |
|---|---|---|---|
| 6522 | CA | MD | Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1589241600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1589241600000",
"number": "1255953386",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "28677 PARKSIDE DR",
"city": "VALENCIA",
"state": "CA",
"postal_code": "913543075"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "28677 PARKSIDE DR",
"city": "VALENCIA",
"state": "CA",
"postal_code": "913543075",
"telephone_number": "213-700-4112"
}
],
"practiceLocations": [
{
"address_1": "28677 Parkside Dr",
"address_purpose": "LOCATION",
"city": "Valencia",
"state": "CA",
"postal_code": "913543075",
"country_code": "US",
"telephone_number": "213-700-4112",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "NAM",
"first_name": "JEONG",
"middle_name": "M",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2020-05-12",
"last_updated": "2020-05-12",
"certification_date": "2020-05-12",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "CA",
"license": "6522",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Valencia, CA
- Joseph Kihara Mwangi, RN, PMHNP-BC
- My Hearing Centers, LLC
- Michelle Najarro
- Wisam S Naji, MD
- Joy Kaori Nakazawa, A.S
- Lina Namoto
- Rhodalyn Nanalis
- Nariman Nassiri MD Inc (Nova Eye Institute)
- Narinder S. Grewal, M.D., a Medical Corporation (Santa Clarita Surgery Center)
- Nathan Abraham MD Vision Professionals Inc
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 12, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.