Individual provider Active NPI

Ye Kyeom Im, OTD

  • Hand Occupational Therapist
  • Santa Ana, CA
National Provider Identifier
1366315111
Registry record updated Sep 27, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hand Occupational TherapistTaxonomy code 225XH1200X
License
28235 Issued in CA
Practice address
1520 Brookhollow Dr Ste 37
Santa Ana, CA 92705-5427
Phone
(714) 953-7330
Fax
(949) 727-2193
NPI assigned
Sep 27, 2025
Last updated
Sep 27, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 27, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Hand Occupational Therapist 225XH1200X 28235 CA Primary

Addresses

Primary practice location

1520 Brookhollow Dr Ste 37
Santa Ana, CA 92705-5427

Mailing address

17146 First Light LN
Riverside, CA 92503-8710
Phone (951) 269-1031

Other names 1

  • Clara Im Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20251109000139 CA Practitioner - Occupational Therapist in Private Practice 2163912999 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Occupational Therapist in Private Practice
Education
Other, 2025
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Advance Occupational and Hand Therapy CenterGroup PAC ID 0143251579, 5 clinicians

Practice addresses (Care Compare)

1520 Brookhollow Dr
Suite 37
Santa Ana, CA 92705-5427
Phone (714) 953-7330

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
28235CAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Advance Occupational & Hand Therapy Center Hand CurrentSince Nov 3, 2025 Accepting new patients
Advance Occupational & Hand Therapy Center Hand CurrentSince Nov 3, 2025 Accepting new patients

Locations

1520 Brookhollow Dr
Ste 37
Santa Ana, CA 92705
Phone (714) 953-7330

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1758931200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1758931200000",
    "number": "1366315111",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17146 FIRST LIGHT LN",
            "city": "RIVERSIDE",
            "state": "CA",
            "postal_code": "925038710",
            "telephone_number": "951-269-1031"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1520 BROOKHOLLOW DR STE 37",
            "city": "SANTA ANA",
            "state": "CA",
            "postal_code": "927055427",
            "telephone_number": "714-953-7330",
            "fax_number": "949-727-2193"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "IM",
        "first_name": "YE",
        "middle_name": "KYEOM",
        "credential": "OTD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-09-27",
        "last_updated": "2025-09-27",
        "certification_date": "2025-09-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225XH1200X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Hand",
            "state": "CA",
            "license": "28235",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CLARA",
            "last_name": "IM",
            "credential": "OTD",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Santa Ana, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 27, 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.

Verify at the official NPI Registry.