Individual provider Active NPI

Gerald Francis Lackar, OTR

  • Occupational Therapist
  • Anaheim, CA
National Provider Identifier
1538371992
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
9350 Issued in CA
Practice address
501 S Beach Blvd
Anaheim, CA 92804-1810
Phone
(714) 816-0540
NPI assigned
May 5, 2007
Sex
Male
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
Occupational Therapist 225X00000X 9350 CA Primary

Addresses

Primary practice location

501 S Beach Blvd
Anaheim, CA 92804-1810

Mailing address

141 W Wilshire Ave Apt 311
Fullerton, CA 92832-1840
Phone (512) 619-0184

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": "1178323200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1538371992",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "141 W WILSHIRE AVE APT 311",
            "city": "FULLERTON",
            "state": "CA",
            "postal_code": "928321840",
            "telephone_number": "512-619-0184"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "501 S BEACH BLVD",
            "city": "ANAHEIM",
            "state": "CA",
            "postal_code": "928041810",
            "telephone_number": "714-816-0540"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LACKAR",
        "first_name": "GERALD",
        "middle_name": "FRANCIS",
        "name_prefix": "Mr.",
        "credential": "OTR",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-05-05",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "CA",
            "license": "9350",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Anaheim, 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.