Individual provider Active NPI

Lauren Ashley Foronda, OTR/L

  • Physical Rehabilitation Occupational Therapist
  • Chino, CA
National Provider Identifier
1407310360
Registry record updated Jun 11, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Rehabilitation Occupational TherapistTaxonomy code 225XP0019X
License
18596 Issued in CA
Practice address
4541 Philadelphia St Ste C103
Chino, CA 91710-2250
Phone
(909) 590-7997
NPI assigned
Jan 24, 2019
Last updated
Jun 11, 2019By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 11, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Rehabilitation Occupational Therapist 225XP0019X 18596 CA Primary

Addresses

Primary practice location

4541 Philadelphia St Ste C103
Chino, CA 91710-2250

Mailing address

4541 Philadelphia St Ste C103
Chino, CA 91710-2250
Phone (909) 590-7997

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190503001728 CA Practitioner - Occupational Therapist in Private Practice 8022350461 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Occupational Therapist in Private Practice
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Central Care Physical Therapy, Inc.Group PAC ID 7618037623, 4 clinicians

Practice addresses (Care Compare)

4541 Philadelphia St
Suite C103
Chino, CA 91710-2250
Phone (909) 590-7997

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
18596CAMDPhysical Rehabilitation Occupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Central Care Physical Therapy, Inc CurrentSince Feb 1, 2019 Accepting new patients

Locations

4541 Philadelphia St
Ste C103
Chino, CA 91710
Phone (909) 590-7997

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1548288000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1560211200000",
    "number": "1407310360",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4541 PHILADELPHIA ST STE C103",
            "city": "CHINO",
            "state": "CA",
            "postal_code": "917102250",
            "telephone_number": "909-590-7997",
            "fax_number": "909-524-4317"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4541 PHILADELPHIA ST STE C103",
            "city": "CHINO",
            "state": "CA",
            "postal_code": "917102250",
            "telephone_number": "909-590-7997"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FORONDA",
        "first_name": "LAUREN ASHLEY",
        "credential": "OTR/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-01-24",
        "last_updated": "2019-06-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225XP0019X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Physical Rehabilitation",
            "state": "CA",
            "license": "18596",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chino, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 2019; 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.