Active NPI
Thangputtevy Melanie Chhea, RBT
- Occupational Therapy Assistant
- San Diego, CA
National Provider Identifier
1497221881
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapy Assistant
- License
- 6167
- Practice address
- 7525 Metropolitan Dr
San Diego, CA 92108-4411 - Phone
- (619) 692-0622
- NPI assigned
- Oct 23, 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Technician | 106S00000X | RBT-18-50778 | CA | |
| Occupational Therapy Assistant | 224Z00000X | 6167 | CA | Primary |
Addresses
Primary practice location
7525 Metropolitan Dr
San Diego, CA 92108-4411
Mailing address
7525 Metropolitan Dr
San Diego, CA 92108-4411
Phone (619) 692-0622
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1578729356 | Medicaid | CA |
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RBT-18-50778 | CA | MD | Behavior Technician |
| 6167 | CA | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1540252800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1665446400000",
"number": "1497221881",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7525 METROPOLITAN DR",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "921084411",
"telephone_number": "619-692-0622"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7525 METROPOLITAN DR",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "921084411",
"telephone_number": "619-692-0622"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CHHEA",
"first_name": "THANGPUTTEVY",
"middle_name": "MELANIE",
"credential": "RBT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-10-23",
"last_updated": "2022-10-11",
"certification_date": "2022-10-11",
"status": "A"
},
"taxonomies": [
{
"code": "106S00000X",
"taxonomy_group": "",
"desc": "Behavior Technician",
"state": "CA",
"license": "RBT-18-50778",
"primary": false
},
{
"code": "224Z00000X",
"taxonomy_group": "",
"desc": "Occupational Therapy Assistant",
"state": "CA",
"license": "6167",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1578729356",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}Other providers in San Diego, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 11, 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.