Active NPI
Gabriela Saucedo, OTR/L
- Occupational Therapist
- San Jose, CA
National Provider Identifier
1528739737
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 21018
- Practice address
- 2065 Los Gatos Almaden Rd
San Jose, CA 95124-5417 - Phone
- (408) 377-9275
- NPI assigned
- Sep 27, 2021
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | 21018 | CA | Primary |
Addresses
Primary practice location
2065 Los Gatos Almaden Rd
San Jose, CA 95124-5417
Mailing address
4560 SE International Way Ste 100
Milwaukie, OR 97222-4628
Other practice location 1
14966 Terreno De Flores Ln
Los Gatos, CA 95032-2023
Phone (408) 356-8136
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1632700800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1632700800000",
"number": "1528739737",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4560 SE INTERNATIONAL WAY STE 100",
"city": "MILWAUKIE",
"state": "OR",
"postal_code": "972224628"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2065 LOS GATOS ALMADEN RD",
"city": "SAN JOSE",
"state": "CA",
"postal_code": "951245417",
"telephone_number": "408-377-9275"
}
],
"practiceLocations": [
{
"address_1": "14966 Terreno De Flores Ln",
"address_purpose": "LOCATION",
"city": "Los Gatos",
"state": "CA",
"postal_code": "950322023",
"country_code": "US",
"telephone_number": "408-356-8136",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "SAUCEDO",
"first_name": "GABRIELA",
"name_prefix": "Ms.",
"credential": "OTR/L",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2021-09-27",
"last_updated": "2021-09-27",
"certification_date": "2021-09-27",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "CA",
"license": "21018",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in San Jose, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 27, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.