Active NPI
Kimberly Noble, OTR/L
- Gerontology Occupational Therapist
- Long Beach, CA
National Provider Identifier
1336022789
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Gerontology Occupational Therapist
- License
- 10869
- Practice address
- 3674 San Anseline Ave
Long Beach, CA 90808-2701 - Phone
- (562) 645-6811
- NPI assigned
- Jul 30, 2025
- 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 |
|---|---|---|---|---|
| Gerontology Occupational Therapist | 225XG0600X | 10869 | CA | Primary |
Addresses
Primary practice location
3674 San Anseline Ave
Long Beach, CA 90808-2701
Mailing address
3674 San Anseline Ave
Long Beach, CA 90808-2701
Phone (562) 645-6811
Other names 1
- Kimberly Sayas
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20250820001221 | CA | Practitioner - Occupational Therapist in Private Practice | 1759880271 |
Reassigns benefits to 1 organization Practice locations: Long Beach, CA |
Care Compare profile
Medicare Care Compare- Specialty
- Occupational Therapist in Private Practice
- Education
- Other, 2009
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
Long Beach, CA 90815
Phone (562) 645-6811
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Organizations & group practices 1
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1753833600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1753833600000",
"number": "1336022789",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3674 SAN ANSELINE AVE",
"city": "LONG BEACH",
"state": "CA",
"postal_code": "908082701",
"telephone_number": "562-645-6811"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3674 SAN ANSELINE AVE",
"city": "LONG BEACH",
"state": "CA",
"postal_code": "908082701",
"telephone_number": "562-645-6811"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NOBLE",
"first_name": "KIMBERLY",
"credential": "OTR/L",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2025-07-30",
"last_updated": "2025-07-30",
"certification_date": "2025-07-30",
"status": "A"
},
"taxonomies": [
{
"code": "225XG0600X",
"taxonomy_group": "",
"desc": "Occupational Therapist, Gerontology",
"state": "CA",
"license": "10869",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "KIMBERLY",
"last_name": "SAYAS",
"credential": "OTR/L",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Long Beach, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 30, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.