Individual provider Active NPI

Noah Ray Sundell, COTA

  • Occupational Therapy Assistant
  • San Diego, CA
National Provider Identifier
1326912262
Registry record updated Oct 2, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational Therapy AssistantTaxonomy code 224Z00000X
Practice address
3707 Convoy St
San Diego, CA 92111-3754
Phone
(858) 573-9368
NPI assigned
Oct 2, 2025
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 2, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapy Assistant 224Z00000X CA Primary

Addresses

Primary practice location

3707 Convoy St
San Diego, CA 92111-3754

Mailing address

2188 Gill Village Way Apt 813
San Diego, CA 92108-5571
Phone (661) 609-8696

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

NPI Registry JSON

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

{
    "created_epoch": "1759363200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1759363200000",
    "number": "1326912262",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2188 GILL VILLAGE WAY APT 813",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921085571",
            "telephone_number": "661-609-8696"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3707 CONVOY ST",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921113754",
            "telephone_number": "858-573-9368"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SUNDELL",
        "first_name": "NOAH",
        "middle_name": "RAY",
        "credential": "COTA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2025-10-02",
        "last_updated": "2025-10-02",
        "certification_date": "2025-10-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "224Z00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapy Assistant",
            "state": "CA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Diego, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 2, 2025; 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.