Individual provider Active NPI

Sirenia Soto Madrigal, COTA

  • Occupational Therapy Assistant
  • San Diego, CA
National Provider Identifier
1346535424
Registry record updated Oct 13, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational Therapy AssistantTaxonomy code 224Z00000X
License
OTA 1023 Issued in CA
Practice address
9988 Hibert St Ste 208
San Diego, CA 92131-2480
Phone
(858) 227-7229
Fax
(858) 221-4177
NPI assigned
Jun 16, 2011
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 13, 2024

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 OTA 1023 CA Primary

Addresses

Primary practice location

9988 Hibert St Ste 208
San Diego, CA 92131-2480

Mailing address

9130 Wakarusa St
La Mesa, CA 91942-3308
Phone (760) 604-1394

Other practice location 1

200 W Arbor Dr
San Diego, CA 92103-9000
Phone (619) 543-6530

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

LicenseStateTypeSpecialty
OTA 1023CAMDOccupational Therapy Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Mission Occupational and Hand Therapy Services Apc CurrentSince Feb 16, 2026 Accepting new patients

Locations

9988 Hibert St
Ste 208
San Diego, CA 92131
Phone (858) 227-7229

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": "1308182400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1728777600000",
    "number": "1346535424",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9130 WAKARUSA ST",
            "city": "LA MESA",
            "state": "CA",
            "postal_code": "919423308",
            "telephone_number": "760-604-1394"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9988 HIBERT ST STE 208",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921312480",
            "telephone_number": "858-227-7229",
            "fax_number": "858-221-4177"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "200 W Arbor Dr",
            "address_purpose": "LOCATION",
            "city": "San Diego",
            "state": "CA",
            "postal_code": "921039000",
            "country_code": "US",
            "telephone_number": "619-543-6530",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MADRIGAL",
        "first_name": "SIRENIA",
        "middle_name": "SOTO",
        "credential": "COTA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-06-16",
        "last_updated": "2024-10-13",
        "certification_date": "2024-10-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "224Z00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapy Assistant",
            "state": "CA",
            "license": "OTA 1023",
            "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 13, 2024; 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.