Active NPI
Queen Mae Sarol
- Occupational Therapist
- San Ramon, CA
National Provider Identifier
1548821135
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 18528
- Practice address
- 2208 Camino Ramon
San Ramon, CA 94583 - Phone
- (925) 830-5135
- NPI assigned
- Jun 24, 2019
- Last updated
- Oct 4, 2019
- 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 | 18528 | CA | Primary |
Addresses
Primary practice location
2208 Camino Ramon
San Ramon, CA 94583
Mailing address
2561 Prestwick Ave
Concord, CA 94519
Phone (925) 427-4444
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": "1561334400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1570147200000",
"number": "1548821135",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2561 PRESTWICK AVE",
"city": "CONCORD",
"state": "CA",
"postal_code": "94519",
"telephone_number": "925-427-4444"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2208 CAMINO RAMON",
"city": "SAN RAMON",
"state": "CA",
"postal_code": "94583",
"telephone_number": "925-830-5135"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SAROL",
"first_name": "QUEEN MAE",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2019-06-24",
"last_updated": "2019-10-04",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "CA",
"license": "18528",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in San Ramon, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 4, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.