Individual provider Active NPI

Armando Kim, OTR/L

  • Hand Occupational Therapist
  • Pomona, CA
National Provider Identifier
1376589705
Registry record updated Aug 22, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hand Occupational TherapistTaxonomy code 225XH1200X
License
5319 Issued in CA
Practice address
1902 Royalty Dr
Ste 170
Pomona, CA 91767-3030
Phone
(909) 620-9700
Fax
(909) 620-9800
NPI assigned
Jun 22, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2013

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 5319 CA Primary

Addresses

Primary practice location

1902 Royalty Dr
Ste 170
Pomona, CA 91767-3030

Mailing address

168 W Willow St # 397
Pomona, CA 91768-1828
Phone (909) 620-9700

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20041110000924 CA Practitioner - Occupational Therapist in Private Practice 7719940808 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Occupational Therapist in Private Practice
Education
Loma Linda University School of Medicine, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Able Physical Therapy CorpGroup PAC ID 7315011285, 6 clinicians

Practice addresses (Care Compare)

1902 Royalty Dr
Suite 170
Pomona, CA 91767-3030
Phone (909) 620-9700

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles (3 of 4)

OrganizationSpecialtyStatusNew patients
Able Physical Therapy Corp CurrentSince Apr 14, 2008 Accepting new patients
Physical Rehabiliation Solutions Inc. Past Accepting new patients
121 Rehab Physical Therapy Corp PastSince Oct 5, 2004 Accepting new patients

Locations

101 E Lincoln Ave
Ste 111
Anaheim, CA 92805
Phone (714) 774-6502

480 S Indian Hill Blvd
Claremont, CA 91711
Phone (909) 620-9700

9530 Imperial Hwy
Ste A
Downey, CA 90242
Phone (562) 381-0877

1535 Deerpark Dr
Fullerton, CA 92831
Phone (714) 993-3222

12562 Garden Grove Blvd
Garden Grove, CA 92843
Phone (417) 534-1700

1902 Royalty Dr
#170
Pomona, CA 91767
Phone (909) 620-9700

1902 Royalty Dr
Ste 170
Pomona, CA 91767
Phone (909) 620-9700

550 Parkcenter Dr
Ste 105
Santa Ana, CA 92705
Phone (714) 855-3100

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Organizations & group practices 3

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": "1150934400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1377129600000",
    "number": "1376589705",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "168 W WILLOW ST # 397",
            "city": "POMONA",
            "state": "CA",
            "postal_code": "917681828",
            "telephone_number": "909-620-9700",
            "fax_number": "909-620-9800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1902 ROYALTY DR",
            "address_2": "STE 170",
            "city": "POMONA",
            "state": "CA",
            "postal_code": "917673030",
            "telephone_number": "909-620-9700",
            "fax_number": "909-620-9800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KIM",
        "first_name": "ARMANDO",
        "credential": "OTR/L",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-22",
        "last_updated": "2013-08-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225XH1200X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Hand",
            "state": "CA",
            "license": "5319",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pomona, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2013; 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.