Active NPI
Joanna Gob, MS, OTR/L
- Occupational Therapist
- Fountain Valley, CA
National Provider Identifier
1427566488
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 17970
- Practice address
- 17075 Bushard St
Fountain Valley, CA 92708-2836 - Phone
- (714) 964-9277
- NPI assigned
- Jan 11, 2018
- 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 | 17970 | CA | Primary |
Addresses
Primary practice location
17075 Bushard St
Fountain Valley, CA 92708-2836
Mailing address
21610 Orrick Ave Unit 3
Carson, CA 90745-2040
Phone (562) 472-7470
Other practice location 1
16800 Aston Ste 250
Irvine, CA 92606-4812
Phone (714) 813-2342
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
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 17970 | CA | MD | Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Children'S Hospital of Orange County | Current | Accepting new patients | |
| Pediatric Subspecialty Faculty, Inc. | Past | Accepting new patients |
Locations
1201 W La Veta Ave
Orange, CA 92868
Phone (714) 509-8481
Dept LA 21333
Pasadena, CA 91185
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 and National Provider Directory roles.
-
- Pediatrics Physician
- Orange, CA
- NPI 1275975104
-
- Pediatrics Physician
- Orange, CA
- NPI 1790850279
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1515628800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1662854400000",
"number": "1427566488",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "21610 ORRICK AVE UNIT 3",
"city": "CARSON",
"state": "CA",
"postal_code": "907452040",
"telephone_number": "562-472-7470"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "17075 BUSHARD ST",
"city": "FOUNTAIN VALLEY",
"state": "CA",
"postal_code": "927082836",
"telephone_number": "714-964-9277"
}
],
"practiceLocations": [
{
"address_1": "16800 Aston Ste 250",
"address_purpose": "LOCATION",
"city": "Irvine",
"state": "CA",
"postal_code": "926064812",
"country_code": "US",
"telephone_number": "714-813-2342",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "GOB",
"first_name": "JOANNA",
"credential": "MS, OTR/L",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2018-01-11",
"last_updated": "2022-09-11",
"certification_date": "2022-09-11",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "CA",
"license": "17970",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Fountain Valley, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.