Individual provider Active NPI

Daniel Joseph Vergara Lafradez, COTA/L

  • Occupational Therapy Assistant
  • Roseville, CA
National Provider Identifier
1396548822
Registry record updated Mar 31, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational Therapy AssistantTaxonomy code 224Z00000X
License
523733 Issued in CA
Practice address
198 Cirby Way Ste 140
Roseville, CA 95678-6430
Phone
(916) 773-8282
NPI assigned
Mar 31, 2025
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 31, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapy Assistant 224Z00000X 523733 CA Primary

Addresses

Primary practice location

198 Cirby Way Ste 140
Roseville, CA 95678-6430

Mailing address

10096 Mosaic Way
Elk Grove, CA 95757-5959
Phone (916) 340-5663

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
523733CAMDOccupational Therapy Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Bright Start Therapies, Inc. CurrentSince Apr 6, 2025 Accepting new patients

Locations

198 Cirby Way
Ste 140
Roseville, CA 95678
Phone (916) 773-8282

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": "1743379200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1743379200000",
    "number": "1396548822",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10096 MOSAIC WAY",
            "city": "ELK GROVE",
            "state": "CA",
            "postal_code": "957575959",
            "telephone_number": "916-340-5663"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "198 CIRBY WAY STE 140",
            "city": "ROSEVILLE",
            "state": "CA",
            "postal_code": "956786430",
            "telephone_number": "916-773-8282"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LAFRADEZ",
        "first_name": "DANIEL JOSEPH",
        "middle_name": "VERGARA",
        "credential": "COTA/L",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2025-03-31",
        "last_updated": "2025-03-31",
        "certification_date": "2025-03-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "224Z00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapy Assistant",
            "state": "CA",
            "license": "523733",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Roseville, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 31, 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.