Individual provider Active NPI

Richard Zecha, OTR/L

  • Physical Rehabilitation Occupational Therapist
  • Valley Center, CA
National Provider Identifier
1497202568
Registry record updated Oct 25, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Rehabilitation Occupational TherapistTaxonomy code 225XP0019X
License
16503 Issued in CA
Practice address
15521 Woods Valley Rd
Valley Center, CA 92082-7313
Phone
(408) 705-0677
NPI assigned
Sep 7, 2016
Last updated
Oct 25, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 25, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Rehabilitation Occupational Therapist 225XP0019X 16503 CA Primary

Addresses

Primary practice location

15521 Woods Valley Rd
Valley Center, CA 92082-7313

Mailing address

15521 Woods Valley Rd
Valley Center, CA 92082-7313
Phone (408) 705-0677

Electronic endpoints 1

TypeEndpointUseAffiliation
SOAP URL https://careepicwest.kp.org:14430/Interconnect-prodcalgateway/wcf/epic.community.hie/xcpdrespondinggatewaysync.svc/scalceq Health Information Exchange (HIE) Southern California Permanente Medical Group

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20161028001975 CA Practitioner - Occupational Therapist in Private Practice 1355629130 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Occupational Therapist in Private Practice
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

10800 Magnolia Ave
Riverside, CA 92505-3043
Phone (951) 353-2000

1630 Ridgeway St
Oceanside, CA 92054-5637
Phone (760) 688-9089

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Southern California Permanente Medical Group CurrentSince Aug 5, 2024 Accepting new patients
Southern California Permanente Medical Group CurrentSince Aug 5, 2024 Accepting new patients
Southern California Permanente Medical Group Current Accepting new patients
All Star Physical Therapy CurrentSince Oct 28, 2020 Accepting new patients
Coastal Mobile Therapy a Professional Physical Therapy Corp CurrentSince Oct 6, 2020 Accepting new patients

Locations

16008 Kamana Rd
Ste 200
Apple Valley, CA 92307
Phone (760) 810-7767

2815 S Main St
Ste 205
Corona, CA 92882
Phone (951) 475-1307

215 S Hickory St
Ste 112
Escondido, CA 92025
Phone (760) 737-8460

3989 W Stetson Ave
Ste 105
Hemet, CA 92545
Phone (951) 652-3334

425 Diamond Dr
Ste 101
Lake Elsinore, CA 92530
Phone (951) 674-9515

30141 Antelope Rd
Ste A
Menifee, CA 92584
Phone (951) 723-1866

24671 Monroe Ave
Ste 101
Murrieta, CA 92562
Phone (951) 677-4105

393 E Walnut St
Unit 3RD
Pasadena, CA 91188
Phone (626) 405-7914

1338 Main St
Ramona, CA 92065
Phone (760) 789-1400

10800 Magnolia Ave
Riverside, CA 92505
Phone (951) 353-2000

29645 Rancho California Rd
Ste 234
Temecula, CA 92591
Phone (951) 506-3001

1922 Hacienda Dr
Vista, CA 92081
Phone (760) 295-4175

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Organizations & group practices 5

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": "1473206400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1729814400000",
    "number": "1497202568",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15521 WOODS VALLEY RD",
            "city": "VALLEY CENTER",
            "state": "CA",
            "postal_code": "920827313",
            "telephone_number": "408-705-0677"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15521 WOODS VALLEY RD",
            "city": "VALLEY CENTER",
            "state": "CA",
            "postal_code": "920827313",
            "telephone_number": "408-705-0677"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZECHA",
        "first_name": "RICHARD",
        "name_prefix": "Mr.",
        "credential": "OTR/L",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-09-07",
        "last_updated": "2024-10-25",
        "certification_date": "2020-10-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225XP0019X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Physical Rehabilitation",
            "state": "CA",
            "license": "16503",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "SOAP",
            "endpointTypeDescription": "SOAP URL",
            "endpoint": "https://careepicwest.kp.org:14430/Interconnect-prodcalgateway/wcf/epic.community.hie/xcpdrespondinggatewaysync.svc/scalceq",
            "affiliation": "Y",
            "endpointDescription": "Carequality",
            "affiliationName": "Southern California Permanente Medical Group",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "C-CDA",
            "address_1": "10800 Magnolia Ave",
            "city": "Riverside",
            "state": "CA",
            "country_code": "US",
            "postal_code": "925053043",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Valley Center, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 25, 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.