Individual provider Active NPI

Michael F Tabora

  • Pediatric Occupational Therapist
  • Rancho Santa Margarita, CA
National Provider Identifier
1376336123
Registry record updated May 26, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Occupational TherapistTaxonomy code 225XP0200X
License
27626 Issued in CA
Practice address
22362 Gilberto Ste 100
Rancho Santa Margarita, CA 92688-2187
Phone
(949) 459-1658
NPI assigned
May 26, 2025
Sex
Unspecified or another gender identity
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 26, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Occupational Therapist 225XP0200X 27626 CA Primary

Addresses

Primary practice location

22362 Gilberto Ste 100
Rancho Santa Margarita, CA 92688-2187

Mailing address

24541 Chrisanta Dr
Mission Viejo, CA 92691-4808
Phone (949) 293-9615

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
27626CAMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Rainbow Kids Achievement Center Pediatrics PastSince Jun 3, 2025 Accepting new patients

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": "1748217600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1748217600000",
    "number": "1376336123",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24541 CHRISANTA DR",
            "city": "MISSION VIEJO",
            "state": "CA",
            "postal_code": "926914808",
            "telephone_number": "949-293-9615"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22362 GILBERTO STE 100",
            "city": "RANCHO SANTA MARGARITA",
            "state": "CA",
            "postal_code": "926882187",
            "telephone_number": "949-459-1658"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TABORA",
        "first_name": "MICHAEL",
        "middle_name": "F",
        "sole_proprietor": "NO",
        "sex": "X",
        "enumeration_date": "2025-05-26",
        "last_updated": "2025-05-26",
        "certification_date": "2025-05-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225XP0200X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Pediatrics",
            "state": "CA",
            "license": "27626",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rancho Santa Margarita, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 26, 2025; 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.