Active NPI
Gina M Sian, OT
- Occupational Therapy Assistant
- Clovis, CA
National Provider Identifier
1407905664
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapy Assistant
- License
- OT2797
- Practice address
- 132 Omaha Ave
Clovis, CA 93619-7616 - Phone
- (559) 298-0508
- NPI assigned
- Jan 9, 2007
- Last updated
- Jul 8, 2007
- 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 Therapy Assistant | 224Z00000X | OT2797 | CA | Primary |
Addresses
Primary practice location
132 Omaha Ave
Clovis, CA 93619-7616
Mailing address
132 Omaha Ave
Clovis, CA 93619-7616
Phone (559) 298-0508
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| OT2797 | Other | CA | OCCUPATION THERAPIST |
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| OT2797 | CA | MD | Occupational Therapy Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Omnia Healthcare LLC | Current | Accepting new patients | |
| Tri-Core Home Care, LLC | Current | Accepting new patients |
Organizations & group practices 2
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.
-
- Home Health Agency
- Clovis, CA
- NPI 1154748465
-
- In Home Supportive Care Agency
- Clovis, CA
- NPI 1326899014
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1168300800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1407905664",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "132 OMAHA AVE",
"city": "CLOVIS",
"state": "CA",
"postal_code": "936197616",
"telephone_number": "559-298-0508"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "132 OMAHA AVE",
"city": "CLOVIS",
"state": "CA",
"postal_code": "936197616",
"telephone_number": "559-298-0508"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SIAN",
"first_name": "GINA",
"middle_name": "M",
"name_prefix": "Ms.",
"credential": "OT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-01-09",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "224Z00000X",
"taxonomy_group": "",
"desc": "Occupational Therapy Assistant",
"state": "CA",
"license": "OT2797",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "OCCUPATION THERAPIST",
"identifier": "OT2797",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Clovis, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.