Active NPI
Susan H. Kornreich, O.T.R.L, C.H.T.
- Hand Occupational Therapist
- Santa Ana, CA
National Provider Identifier
1265639165
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Hand Occupational Therapist
- License
- OT 2113
- Practice address
- 1001 North Tustin Ave
Western Medical Center
Santa Ana, CA 92701 - Phone
- (714) 953-3605
- Fax
- (714) 953-3442
- NPI assigned
- Jul 2, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | OT 2113 | CA | |
| Hand Occupational Therapist | 225XH1200X | OT 2113 | CA | Primary |
Addresses
Primary practice location
1001 North Tustin Ave
Western Medical Center
Santa Ana, CA 92701
Mailing address
1001 North Tustin Ave
Western Medical Center
Santa Ana, CA 92701
Phone (714) 953-3605
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 |
|---|---|---|---|
| OT 2113 | CA | MD | Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1183334400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1248739200000",
"number": "1265639165",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1001 NORTH TUSTIN AVE",
"address_2": "WESTERN MEDICAL CENTER",
"city": "SANTA ANA",
"state": "CA",
"postal_code": "92701",
"telephone_number": "714-953-3605",
"fax_number": "714-953-3442"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1001 NORTH TUSTIN AVE",
"address_2": "WESTERN MEDICAL CENTER",
"city": "SANTA ANA",
"state": "CA",
"postal_code": "92701",
"telephone_number": "714-953-3605",
"fax_number": "714-953-3442"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KORNREICH",
"first_name": "SUSAN",
"middle_name": "H.",
"credential": "O.T.R.L, C.H.T.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-07-02",
"last_updated": "2009-07-28",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "CA",
"license": "OT 2113",
"primary": false
},
{
"code": "225XH1200X",
"taxonomy_group": "",
"desc": "Occupational Therapist, Hand",
"state": "CA",
"license": "OT 2113",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Santa Ana, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 28, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.