Active NPI
Paul McDonald
- Occupational Therapy Assistant
- El Centro, CA
National Provider Identifier
1376451575
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapy Assistant
- License
- 1126
- Practice address
- 1398 Sperber Rd
El Centro, CA 92243-9621 - Phone
- (760) 312-6647
- NPI assigned
- Aug 29, 2026
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapy Assistant | 224Z00000X | 1126 | CA | Primary |
Addresses
Primary practice location
1398 Sperber Rd
El Centro, CA 92243-9621
Mailing address
572 Wild Rose LN
Imperial, CA 92251-8945
Phone (760) 455-9719
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1787961600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1787961600000",
"number": "1376451575",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "572 WILD ROSE LN",
"city": "IMPERIAL",
"state": "CA",
"postal_code": "922518945",
"telephone_number": "760-455-9719"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1398 SPERBER RD",
"city": "EL CENTRO",
"state": "CA",
"postal_code": "922439621",
"telephone_number": "760-312-6647"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MCDONALD",
"first_name": "PAUL",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2026-08-29",
"last_updated": "2026-08-29",
"certification_date": "2026-08-29",
"status": "A"
},
"taxonomies": [
{
"code": "224Z00000X",
"taxonomy_group": "",
"desc": "Occupational Therapy Assistant",
"state": "CA",
"license": "1126",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in El Centro, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 29, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.