Individual provider Active NPI

Uma Maheswari Chinnaswamy

  • Occupational Therapist
  • Stockton, CA
National Provider Identifier
1538770490
Registry record updated Aug 13, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
015771 Issued in NY
Practice address
4545 Shelley CT
Stockton, CA 95207-7232
Phone
(209) 477-0271
NPI assigned
Aug 13, 2020
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 13, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X 11300 CA
Occupational Therapist 225X00000X 015771 NY Primary

Addresses

Primary practice location

4545 Shelley CT
Stockton, CA 95207-7232

Mailing address

5858 Morgan PL Apt 8
Stockton, CA 95219-4625
Phone (707) 317-8783

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL Stockton Health Information Exchange (HIE)

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
11300CAMDOrthopedic Physical Therapist
015771NYMDOccupational Therapist

NPI Registry JSON

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

{
    "created_epoch": "1597276800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1597276800000",
    "number": "1538770490",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5858 MORGAN PL APT 8",
            "city": "STOCKTON",
            "state": "CA",
            "postal_code": "952194625",
            "telephone_number": "707-317-8783"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4545 SHELLEY CT",
            "city": "STOCKTON",
            "state": "CA",
            "postal_code": "952077232",
            "telephone_number": "209-477-0271"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHINNASWAMY",
        "first_name": "UMA",
        "middle_name": "MAHESWARI",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-08-13",
        "last_updated": "2020-08-13",
        "certification_date": "2020-08-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "CA",
            "license": "11300",
            "primary": false
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "NY",
            "license": "015771",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "Stockton",
            "affiliation": "N",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "4545 Shelley Ct",
            "city": "Stockton",
            "state": "CA",
            "country_code": "US",
            "postal_code": "952077232",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Stockton, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 13, 2020; 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.