Active NPI
Ronald Okio Okubo, OT
- Occupational Therapist
- Fullerton, CA
National Provider Identifier
1316922594
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- OT2818
- Practice address
- 101 Laguna Rd
Ste. B
Fullerton, CA 92835-3634 - Phone
- (714) 871-0460
- Fax
- (714) 871-5342
- NPI assigned
- Dec 12, 2005
- 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 Therapist | 225X00000X | OT2818 | CA | Primary |
Addresses
Primary practice location
101 Laguna Rd
Ste. B
Fullerton, CA 92835-3634
Mailing address
101 Laguna Rd
Ste. B
Fullerton, CA 92835-3634
Phone (714) 871-0460
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| OT2818 | CA | MD | Occupational Therapist |
| 2818 | CA | MD | Critical Care Registered Respiratory Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1134345600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1381708800000",
"number": "1316922594",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "101 LAGUNA RD",
"address_2": "STE. B",
"city": "FULLERTON",
"state": "CA",
"postal_code": "928353634",
"telephone_number": "714-871-0460",
"fax_number": "714-871-5342"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "101 LAGUNA RD",
"address_2": "STE. B",
"city": "FULLERTON",
"state": "CA",
"postal_code": "928353634",
"telephone_number": "714-871-0460",
"fax_number": "714-871-5342"
}
],
"practiceLocations": [],
"basic": {
"last_name": "OKUBO",
"first_name": "RONALD",
"middle_name": "OKIO",
"credential": "OT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-12-12",
"last_updated": "2013-10-14",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "CA",
"license": "OT2818",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Fullerton, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 14, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.