Active NPI
Lisa Sommerauer, MA, OTR/L
- Occupational Therapist
- Chula Vista, CA
National Provider Identifier
1467931840
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 12825
- Practice address
- 84 E J St
Chula Vista, CA 91910-6115 - Phone
- (619) 425-9600
- NPI assigned
- Aug 7, 2018
- Last updated
- Aug 7, 2018
- Sex
- Female
- Sole proprietor
- No
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 | 12825 | CA | Primary |
Addresses
Primary practice location
84 E J St
Chula Vista, CA 91910-6115
Mailing address
4495 North Ave Apt 3
San Diego, CA 92116-3957
Phone (510) 846-1294
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 Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 12825 | CA | MD | Acupuncturist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Chula Vista Elementary School District | Past | Accepting new patients |
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.
-
- Local Education Agency (LEA)
- Chula Vista, CA
- NPI 1306994470
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1533600000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1533600000000",
"number": "1467931840",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4495 NORTH AVE APT 3",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "921163957",
"telephone_number": "510-846-1294"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "84 E J ST",
"city": "CHULA VISTA",
"state": "CA",
"postal_code": "919106115",
"telephone_number": "619-425-9600"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SOMMERAUER",
"first_name": "LISA",
"credential": "MA, OTR/L",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-08-07",
"last_updated": "2018-08-07",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "CA",
"license": "12825",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Chula Vista, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 7, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.