Leslie Diane Huitron, OTR/L

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

26190 Issued in CA

Practice address

150 S Mary Ave Ste 1
Nipomo, CA 93444-7821

Phone

(805) 929-3230

Fax

(805) 929-3232

NPI assigned

Apr 5, 2024

Last updated

Sep 19, 2024By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Specialty

Occupational Therapist in Private Practice

Education

Other, 2024

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Coastal Hand and Occupational Therapy IncGroup PAC ID 9133594237, 4 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Coastal Hand & Occupational Therapy Inc

  • Occupational Therapist
  • Santa Maria, CA
  • NPI 1366157877
  Medicare reassignment Care Compare group NPD
• Coastal Hand and Occupational Therapy

  • Occupational Therapist
  • Santa Maria, CA
  • NPI 1083878854
  NPD

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

{
    "created_epoch": "1712275200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1726704000000",
    "number": "1487406906",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1111 S BROADWAY STE 201",
            "city": "SANTA MARIA",
            "state": "CA",
            "postal_code": "934546682"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "150 S MARY AVE STE 1",
            "city": "NIPOMO",
            "state": "CA",
            "postal_code": "934447821",
            "telephone_number": "805-929-3230",
            "fax_number": "805-929-3232"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "201 N College Dr Ste 203",
            "address_purpose": "LOCATION",
            "city": "Santa Maria",
            "state": "CA",
            "postal_code": "934544614",
            "country_code": "US",
            "telephone_number": "805-922-1724",
            "fax_number": "805-922-2765",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2029 Village Ln Ste 207",
            "address_purpose": "LOCATION",
            "city": "Solvang",
            "state": "CA",
            "postal_code": "934632258",
            "country_code": "US",
            "telephone_number": "805-686-4642",
            "fax_number": "805-576-7961",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HUITRON",
        "first_name": "LESLIE",
        "middle_name": "DIANE",
        "credential": "OTR/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-04-05",
        "last_updated": "2024-09-19",
        "certification_date": "2024-09-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "CA",
            "license": "26190",
            "primary": true
        },
        {
            "code": "225XH1200X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Hand",
            "state": "CA",
            "license": "26190",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jessica Hawley
• Shannon Lynne Hirase
• Edward Alan Hirsch, MD
• Kelly I Howard, PTA
• Paige Riley Huguenard
• Mark Christopher Interian, DDS
• Alexander Irvine, PHARMACIST
• Janet B. Gaussoin (California Chiropractic)
• Trey Stephen Jangaard, DDS
• Teeranun Jirajariyavej, M.D.

• Occupational Therapist in Nipomo, CA
• Providers in Nipomo, CA by specialty
• Occupational Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 19, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.