Active NPI
Heather Lynn Trentadue, MS, OTR/L
- Occupational Therapist
- Irvine, CA
National Provider Identifier
1407095300
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 12699
- Practice address
- 16265 Laguna Canyon Rd
Irvine, CA 92618-3603 - Phone
- (949) 857-0255
- NPI assigned
- Feb 17, 2009
- Sex
- Female
- Sole proprietor
- Yes
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 Therapist | 225X00000X | 12699 | CA | Primary |
Addresses
Primary practice location
16265 Laguna Canyon Rd
Irvine, CA 92618-3603
Mailing address
70 Sklar St Apt 1115
Ladera Ranch, CA 92694-0775
Phone (720) 299-9796
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
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 12699 | CA | MD | Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1234828800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1349308800000",
"number": "1407095300",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "70 SKLAR ST APT 1115",
"city": "LADERA RANCH",
"state": "CA",
"postal_code": "926940775",
"telephone_number": "720-299-9796"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "16265 LAGUNA CANYON RD",
"city": "IRVINE",
"state": "CA",
"postal_code": "926183603",
"telephone_number": "949-857-0255"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TRENTADUE",
"first_name": "HEATHER",
"middle_name": "LYNN",
"credential": "MS, OTR/L",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2009-02-17",
"last_updated": "2012-10-04",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "CA",
"license": "12699",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Irvine, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 4, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.