Active NPI
Alicia Corona Gibbs, OTR L, MS, CHT
- Hand Occupational Therapist
- Oceanside, CA
National Provider Identifier
1295949402
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Hand Occupational Therapist
- License
- 3468
- Practice address
- 2124 S El Camino Real Ste 101
Oceanside, CA 92054-6284 - Phone
- (760) 901-5044
- Fax
- (760) 966-1285
- NPI assigned
- May 9, 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Hand Occupational Therapist | 225XH1200X | 3468 | CA | Primary |
Addresses
Primary practice location
2124 S El Camino Real Ste 101
Oceanside, CA 92054-6284
Mailing address
3537 Roselle St
Oceanside, CA 92056-3825
Phone (760) 505-2424
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)
- Enrolled
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3468 | CA | MD | School Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1178668800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1334880000000",
"number": "1295949402",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3537 ROSELLE ST",
"city": "OCEANSIDE",
"state": "CA",
"postal_code": "920563825",
"telephone_number": "760-505-2424"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2124 S EL CAMINO REAL STE 101",
"city": "OCEANSIDE",
"state": "CA",
"postal_code": "920546284",
"telephone_number": "760-901-5044",
"fax_number": "760-966-1285"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GIBBS",
"first_name": "ALICIA",
"middle_name": "CORONA",
"name_prefix": "Mrs.",
"credential": "OTR L, MS, CHT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-05-09",
"last_updated": "2012-04-20",
"status": "A"
},
"taxonomies": [
{
"code": "225XH1200X",
"taxonomy_group": "",
"desc": "Occupational Therapist, Hand",
"state": "CA",
"license": "3468",
"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 Apr 20, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.