Individual provider Active NPI

Aileen Diane Komai, OT

  • Hand Occupational Therapist
  • Seal Beach, CA
National Provider Identifier
1487793675
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hand Occupational TherapistTaxonomy code 225XH1200X
License
OT4052 Issued in CA
Practice address
2920 Westminster Ave
Seal Beach, CA 90740-5305
Phone
(562) 594-8600
Fax
(562) 594-4599
NPI assigned
Feb 5, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Hand Occupational Therapist 225XH1200X OT4052 CA Primary

Addresses

Primary practice location

2920 Westminster Ave
Seal Beach, CA 90740-5305

Mailing address

4225 Candleberry Ave
Seal Beach, CA 90740-2824
Phone (562) 594-8132

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

NPI Registry JSON

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

{
    "created_epoch": "1170633600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1487793675",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4225 CANDLEBERRY AVE",
            "city": "SEAL BEACH",
            "state": "CA",
            "postal_code": "907402824",
            "telephone_number": "562-594-8132"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2920 WESTMINSTER AVE",
            "city": "SEAL BEACH",
            "state": "CA",
            "postal_code": "907405305",
            "telephone_number": "562-594-8600",
            "fax_number": "562-594-4599"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOMAI",
        "first_name": "AILEEN",
        "middle_name": "DIANE",
        "name_prefix": "Mrs.",
        "credential": "OT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-02-05",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225XH1200X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Hand",
            "state": "CA",
            "license": "OT4052",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Seal Beach, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.