Active NPI
Jacqueline Stenzel
- Occupational Therapist
- San Diego, CA
National Provider Identifier
1487394417
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 23064
- Practice address
- 3065 Rosecrans PL Ste 200
San Diego, CA 92110-4822 - Phone
- (619) 955-5775
- NPI assigned
- Mar 29, 2022
- 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 | 23064 | CA | Primary |
Addresses
Primary practice location
3065 Rosecrans PL Ste 200
San Diego, CA 92110-4822
Mailing address
400 W Ventura Blvd
Camarillo, CA 93010-9137
Phone (805) 383-1497
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Progressive Behavior Services | Current | Accepting new patients |
Locations
3065 Rosecrans Pl
Ste 200
San Diego, CA 92110
Phone (619) 255-1497
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 and National Provider Directory roles.
-
- Developmental - Behavioral Pediatrics Physician
- San Diego, CA
- NPI 1578299897
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1648512000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1648512000000",
"number": "1487394417",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "400 W VENTURA BLVD",
"city": "CAMARILLO",
"state": "CA",
"postal_code": "930109137",
"telephone_number": "805-383-1497"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3065 ROSECRANS PL STE 200",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "921104822",
"telephone_number": "619-955-5775"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STENZEL",
"first_name": "JACQUELINE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-03-29",
"last_updated": "2022-03-29",
"certification_date": "2022-03-29",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "CA",
"license": "23064",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in San Diego, CA
- Marissa Stendel, OTR
- Jerome Stenehjem, M.D.
- Lindsay Ek Stenovec, RD
- Shelia Michelle Stenson, PSY.D.
- Denise A Stent, AMFT
- Brian Aaron Stenzler, D.C.
- Audrey Fallon Stephan, MD
- Stephanie a Massey
- Stephanie Knatz Peck PHD Psychological Services Inc (BrightMind Therapy)
- Stephanie Knatz Peck, PHD Psychological Services Inc
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 29, 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.