Briana Marie Dambacher, MA, OTR/L

Primary specialty

Pediatric Occupational TherapistTaxonomy code 225XP0200X

License

10712 Issued in CA

Practice address

9606 Tierra Grande St Ste 104
San Diego, CA 92126-6501

Phone

(858) 695-9444

NPI assigned

Jan 5, 2011

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Arts

State licenses

Practice roles

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.

• Children'S Occupational Therapy Services, Inc.

  • Early Intervention Provider Agency
  • San Diego, CA
  • NPI 1265738231
  NPD (past)
• In-Home Physical Therapy PC

  • Multi-Specialty Clinic/Center
  • Encinitas, CA
  • NPI 1588800874
  NPD (past)

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

{
    "created_epoch": "1294185600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1294185600000",
    "number": "1295039246",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13773 PASEO CARDIEL",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921292739",
            "telephone_number": "858-880-8728"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9606 TIERRA GRANDE ST STE 104",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921266501",
            "telephone_number": "858-695-9444"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAMBACHER",
        "first_name": "BRIANA",
        "middle_name": "MARIE",
        "name_prefix": "Mrs.",
        "credential": "MA, OTR/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-01-05",
        "last_updated": "2011-01-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225XP0200X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Pediatrics",
            "state": "CA",
            "license": "10712",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Thuc Dam, RT
• Thuy-Tien L Dam, M.D.
• VI Dam
• Samantha Damanhoury, B.S.
• Clarissa Damasco, DMD
• Meghan Dambacher
• Jane Dambra, RBT
• Howard Parker Dambrose
• Christian Jordan Dameff, M.D.
• Damerji Dental Corporation

• Pediatric Occupational Therapist in San Diego, CA
• Providers in San Diego, CA by specialty
• Pediatric Occupational Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 5, 2011; 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.