Brianne Dela Cruz Ilaban, COTA

Primary specialty

Occupational Therapy AssistantTaxonomy code 224Z00000X

License

7170 Issued in CA

Practice address

5930 Adobe Rd
Twentynine Palms, CA 92277-2356

Phone

(702) 690-5080

NPI assigned

Jun 25, 2025

Last updated

Jun 25, 2025By 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 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1750809600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1750809600000",
    "number": "1518855824",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5977 ENCELIA DR",
            "city": "TWENTYNINE PALMS",
            "state": "CA",
            "postal_code": "922771935",
            "telephone_number": "702-690-5080"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5930 ADOBE RD",
            "city": "TWENTYNINE PALMS",
            "state": "CA",
            "postal_code": "922772356",
            "telephone_number": "702-690-5080"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "56299 29 Palms Hwy",
            "address_purpose": "LOCATION",
            "city": "Yucca Valley",
            "state": "CA",
            "postal_code": "922842857",
            "country_code": "US",
            "telephone_number": "702-690-5080",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ILABAN",
        "first_name": "BRIANNE",
        "middle_name": "DELA CRUZ",
        "credential": "COTA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-06-25",
        "last_updated": "2025-06-25",
        "certification_date": "2025-06-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "224Z00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapy Assistant",
            "state": "CA",
            "license": "7170",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Shelley Denise Holmes, PHARMD
• Catherine Hopkins, DDS
• Matthew John Horch, MD
• Kennedy Howard
• Alice Huang, DMD
• Roselyn Drapiza Ilanga, IDC
• Kirsten Imhof, RN
• Brayden Eric Immekus
• Jauron Eugene James
• Lejon J Jenkins, IDC

• Occupational Therapy Assistant in Twentynine Palms, CA
• Providers in Twentynine Palms, CA by specialty
• Occupational Therapy Assistant in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 25, 2025; 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.