Individual provider Active NPI

Hiromi Nagasawa, OT, PT

  • Occupational Therapist
  • Oceanside, CA
National Provider Identifier
1265803217
Registry record updated Jan 7, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
15649 Issued in CA
Practice address
3910 Vista Way Ste 106
Oceanside, CA 92056-4513
Phone
(760) 941-2000
Fax
(760) 941-4900
NPI assigned
Oct 16, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 7, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 294020 CA
Occupational Therapist 225X00000X 15649 CA Primary

Addresses

Primary practice location

3910 Vista Way Ste 106
Oceanside, CA 92056-4513

Mailing address

353 W San Marcos Blvd Apt 107
San Marcos, CA 92069-5611
Phone (818) 620-8085

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

LicenseStateTypeSpecialty
294020CAMDPhysical Therapist

NPI Registry JSON

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

{
    "created_epoch": "1444953600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1578355200000",
    "number": "1265803217",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "353 W SAN MARCOS BLVD APT 107",
            "city": "SAN MARCOS",
            "state": "CA",
            "postal_code": "920695611",
            "telephone_number": "818-620-8085"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3910 VISTA WAY STE 106",
            "city": "OCEANSIDE",
            "state": "CA",
            "postal_code": "920564513",
            "telephone_number": "760-941-2000",
            "fax_number": "760-941-4900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NAGASAWA",
        "first_name": "HIROMI",
        "credential": "OT, PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-10-16",
        "last_updated": "2020-01-07",
        "certification_date": "2020-01-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "294020",
            "primary": false
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "CA",
            "license": "15649",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oceanside, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 7, 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.

Verify at the official NPI Registry.