Active NPI
Armando Kim, OTR/L
- Hand Occupational Therapist
- Pomona, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Hand Occupational Therapist
- License
- 5319
- 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
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 |
|---|---|---|---|---|
| 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 ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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 Corp
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)
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Able Physical Therapy Corp | Current | Accepting new patients | |
| Physical Rehabiliation Solutions Inc. | Past | Accepting new patients | |
| 121 Rehab Physical Therapy Corp | Past | 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.
-
- Occupational Therapist
- Pomona, CA
- NPI 1962431049
-
- Physical Therapist
- Colton, CA
- NPI 1457429748
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.