Active NPI
Richard Palmer
- Occupational Therapy Assistant
- Laguna Hills, CA
National Provider Identifier
1295940930
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapy Assistant
- License
- 650
- Practice address
- 23271 Verdugo Dr
#B
Laguna Hills, CA 92653-1347 - Phone
- (949) 707-5555
- NPI assigned
- May 14, 2007
- Sex
- Male
- Sole proprietor
- No
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 Therapy Assistant | 224Z00000X | 650 | CA | Primary |
Addresses
Primary practice location
23271 Verdugo Dr
#B
Laguna Hills, CA 92653-1347
Mailing address
800 Pacific Ave
#309
Long Beach, CA 90813-4282
Phone (562) 432-5872
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 |
|---|---|---|---|
| 650 | CA | MD | Dental Hygienist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Rehab Alliance | Past | Accepting new patients | |
| Rehab Alliance | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Nursing Facility/Intermediate Care Facility
- Laguna Hills, CA
- NPI 1316155021
-
- Physical Therapist
- Laguna Hills, CA
- NPI 1316987126
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1179100800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1295940930",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "800 PACIFIC AVE",
"address_2": "#309",
"city": "LONG BEACH",
"state": "CA",
"postal_code": "908134282",
"telephone_number": "562-432-5872"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "23271 VERDUGO DR",
"address_2": "#B",
"city": "LAGUNA HILLS",
"state": "CA",
"postal_code": "926531347",
"telephone_number": "949-707-5555"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PALMER",
"first_name": "RICHARD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-05-14",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "224Z00000X",
"taxonomy_group": "",
"desc": "Occupational Therapy Assistant",
"state": "CA",
"license": "650",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Laguna Hills, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.