Active NPI
Lorraine Ravarra
- Occupational Therapist
- Irvine, CA
National Provider Identifier
1336895374
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 18096
- Practice address
- 16300 Sand Canyon Ave
Irvine, CA 92618-3711 - Phone
- (949) 557-0630
- NPI assigned
- Feb 28, 2022
- 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 |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | 18096 | CA | Primary |
Addresses
Primary practice location
16300 Sand Canyon Ave
Irvine, CA 92618-3711
Mailing address
18502 Kamstra Ave
Cerritos, CA 90703-6118
Phone (858) 722-1667
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 |
|---|---|---|---|
| 18096 | CA | MD | Professional Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1646006400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1646006400000",
"number": "1336895374",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "18502 KAMSTRA AVE",
"city": "CERRITOS",
"state": "CA",
"postal_code": "907036118",
"telephone_number": "858-722-1667"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "16300 SAND CANYON AVE",
"city": "IRVINE",
"state": "CA",
"postal_code": "926183711",
"telephone_number": "949-557-0630"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RAVARRA",
"first_name": "LORRAINE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-02-28",
"last_updated": "2022-02-28",
"certification_date": "2022-02-28",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "CA",
"license": "18096",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Irvine, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 28, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.