Active NPI
Amanda Megan Balido, OTR/L
- Occupational Therapist
- Murrieta, CA
National Provider Identifier
1548853294
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 21094
- Practice address
- 25924 Jackson Ave
Murrieta, CA 92563-6447 - Phone
- (951) 417-8200
- NPI assigned
- Feb 13, 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 | 21094 | CA | Primary |
Addresses
Primary practice location
25924 Jackson Ave
Murrieta, CA 92563-6447
Mailing address
31207 Whistling Acres Dr
Temecula, CA 92591-7435
Phone (951) 454-7530
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 21094 | CA | MD | Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1613174400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1613174400000",
"number": "1548853294",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "31207 WHISTLING ACRES DR",
"city": "TEMECULA",
"state": "CA",
"postal_code": "925917435",
"telephone_number": "951-454-7530"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "25924 JACKSON AVE",
"city": "MURRIETA",
"state": "CA",
"postal_code": "925636447",
"telephone_number": "951-417-8200"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BALIDO",
"first_name": "AMANDA",
"middle_name": "MEGAN",
"credential": "OTR/L",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2021-02-13",
"last_updated": "2021-02-13",
"certification_date": "2021-02-13",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "CA",
"license": "21094",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Murrieta, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 13, 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.