Individual provider Active NPI

Kimberly Joyce Evans, OT

  • Occupational Therapist
  • Orange, CA
National Provider Identifier
1346541679
Registry record updated Mar 12, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
OT11316 Issued in CA
Practice address
1740 W Katella Ave Ste D
Orange, CA 92867-3434
Phone
(714) 831-5599
Fax
(714) 783-3318
NPI assigned
Nov 3, 2010
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 12, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X OT11316 CA Primary

Addresses

Primary practice location

1740 W Katella Ave Ste D
Orange, CA 92867-3434

Mailing address

817 S Anaheim Blvd Unit 103
Anaheim, CA 92805-5295
Phone (951) 764-4489

Other practice location 1

990 Biscayne Blvd Ste 503
Miami, FL 33132-1556
Phone (786) 257-0607

Other practice location 2

41593 Winchester Rd Ste 216
Temecula, CA 92590-4841
Phone (714) 831-5599

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA, FL2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20170309001975 CA Practitioner - Occupational Therapist in Private Practice 6406130590 Reassigns benefits to 1 organization
I20230324000907 FL Practitioner - Occupational Therapist in Private Practice 6406130590 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Occupational Therapist in Private Practice
Education
Loma Linda University School of Medicine, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Kimberly J Evans Otr L CHT Professional CorporationGroup PAC ID 4183993066, 3 clinicians

Practice addresses (Care Compare)

1740 W Katella Ave
Suite D
Orange, CA 92867-3434
Phone (714) 831-5599

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
OT11316CAMDOccupational Therapist

Organizations & group practices 2

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": "1288742400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1773273600000",
    "number": "1346541679",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "817 S ANAHEIM BLVD UNIT 103",
            "city": "ANAHEIM",
            "state": "CA",
            "postal_code": "928055295",
            "telephone_number": "951-764-4489"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1740 W KATELLA AVE STE D",
            "city": "ORANGE",
            "state": "CA",
            "postal_code": "928673434",
            "telephone_number": "714-831-5599",
            "fax_number": "714-783-3318"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "990 Biscayne Blvd Ste 503",
            "address_purpose": "LOCATION",
            "city": "Miami",
            "state": "FL",
            "postal_code": "331321556",
            "country_code": "US",
            "telephone_number": "786-257-0607",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "41593 Winchester Rd Ste 216",
            "address_purpose": "LOCATION",
            "city": "Temecula",
            "state": "CA",
            "postal_code": "925904841",
            "country_code": "US",
            "telephone_number": "714-831-5599",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "EVANS",
        "first_name": "KIMBERLY",
        "middle_name": "JOYCE",
        "credential": "OT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-11-03",
        "last_updated": "2026-03-12",
        "certification_date": "2026-03-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "CA",
            "license": "OT11316",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Orange, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 12, 2026; 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.

Verify at the official NPI Registry.