Individual provider Active NPI

Urith K Alonzo-Aguilus, OTR

  • Occupational Therapist
  • Placentia, CA
National Provider Identifier
1437424959
Registry record updated Mar 16, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
OT8178 Issued in CA
Practice address
1421 Richmond Dr
Placentia, CA 92870-3626
Phone
(714) 577-8503
NPI assigned
Mar 16, 2012
Last updated
Mar 16, 2012By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 16, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X OT8178 CA Primary

Addresses

Primary practice location

1421 Richmond Dr
Placentia, CA 92870-3626

Mailing address

1421 Richmond Dr
Placentia, CA 92870-3626
Phone (714) 577-8503

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120731000662 CA Practitioner - Occupational Therapist in Private Practice 9335305663

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
OT8178CAMDOccupational Therapist
8178CAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Irehab Physiotherapy Intervention PC Occupational Therapist Current Accepting new patients
Rehabcare Unlimited Corporation Past 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.

NPI Registry JSON

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

{
    "created_epoch": "1331856000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1331856000000",
    "number": "1437424959",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1421 RICHMOND DR",
            "city": "PLACENTIA",
            "state": "CA",
            "postal_code": "928703626",
            "telephone_number": "714-577-8503"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1421 RICHMOND DR",
            "city": "PLACENTIA",
            "state": "CA",
            "postal_code": "928703626",
            "telephone_number": "714-577-8503"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ALONZO-AGUILUS",
        "first_name": "URITH",
        "middle_name": "K",
        "credential": "OTR",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-03-16",
        "last_updated": "2012-03-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "CA",
            "license": "OT8178",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Placentia, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 16, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.