Active NPI
Richard Caccamo, OTR/L
- Occupational Therapist
- San Pablo, CA
National Provider Identifier
1346567021
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- OT 747
- Practice address
- 5980 Westview PL.
San Pablo, CA 94806 - Phone
- (510) 734-9499
- Fax
- (510) 230-4752
- NPI assigned
- Apr 21, 2010
- Last updated
- Apr 21, 2010
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 5
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | OT 747 | CA | Primary |
| Neurorehabilitation Occupational Therapist | 225XN1300X | OT 747 | CA | |
| Gerontology Occupational Therapist | 225XG0600X | OT 747 | CA | |
| Mental Health Occupational Therapist | 225XM0800X | OT 747 | CA | |
| Physical Rehabilitation Occupational Therapist | 225XP0019X | OT 747 | CA |
Addresses
Primary practice location
5980 Westview PL.
San Pablo, CA 94806
Mailing address
5980 Westview PL.
San Pablo, CA 94806
Phone (510) 734-9499
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 |
|---|---|---|---|
| OT 747 | CA | MD | Mental Health Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1271808000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1271808000000",
"number": "1346567021",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5980 WESTVIEW PL.",
"city": "SAN PABLO",
"state": "CA",
"postal_code": "94806",
"telephone_number": "510-734-9499",
"fax_number": "510-230-4752"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5980 WESTVIEW PL.",
"city": "SAN PABLO",
"state": "CA",
"postal_code": "94806",
"telephone_number": "510-734-9499",
"fax_number": "510-230-4752"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CACCAMO",
"first_name": "RICHARD",
"name_prefix": "Mr.",
"credential": "OTR/L",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2010-04-21",
"last_updated": "2010-04-21",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "CA",
"license": "OT 747",
"primary": true
},
{
"code": "225XN1300X",
"taxonomy_group": "",
"desc": "Occupational Therapist, Neurorehabilitation",
"state": "CA",
"license": "OT 747",
"primary": false
},
{
"code": "225XG0600X",
"taxonomy_group": "",
"desc": "Occupational Therapist, Gerontology",
"state": "CA",
"license": "OT 747",
"primary": false
},
{
"code": "225XM0800X",
"taxonomy_group": "",
"desc": "Occupational Therapist, Mental Health",
"state": "CA",
"license": "OT 747",
"primary": false
},
{
"code": "225XP0019X",
"taxonomy_group": "",
"desc": "Occupational Therapist, Physical Rehabilitation",
"state": "CA",
"license": "OT 747",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in San Pablo, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 21, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.