Active NPI
Marisa Yumi Sanwo, OTR
- Gerontology Occupational Therapist
- Anaheim, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Gerontology Occupational Therapist
- License
- 16076
- Practice address
- 1731 W Medical Center Dr
Anaheim, CA 92801-1837 - Phone
- (714) 778-5100
- NPI assigned
- Jan 24, 2013
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| Gerontology Occupational Therapist | 225XG0600X | 16076 | CA | Primary |
Addresses
Primary practice location
1731 W Medical Center Dr
Anaheim, CA 92801-1837
Mailing address
5139 McCallum Avenue
Back Unit
South Gate, CA 90280-2426
Phone (661) 755-3872
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Occupational Therapist in Private Practice
- Education
- Other, 2014
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
25129 The Old Rd
Suite 100
Stevenson Ranch, CA 91381-2281
Phone (661) 284-1984
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 16076 | CA | MD | Acute Care Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Orthopaedic and Neurological Rehabilitation, Speech Pathology, Inc | Current | Accepting new patients | |
| Orthopaedic and Neurological Rehab Inc | Current | Accepting new patients | |
| Santa Clarita Valley Therapy Services | Current | Accepting new patients | |
| MD Solutions Medical Corp | Past | Accepting new patients |
Locations
9000 Murray Dr
La Mesa, CA 91942
Phone (585) 451-4018
177 Mary Ave
Nipomo, CA 93444
Phone (805) 600-3366
25129 The Old Rd
Ste 100
Stevenson Rnh, CA 91381
Phone (661) 284-1984
3499 Grande Vista Dr
Thousand Oaks, CA 91320
Phone (949) 485-2022
3210 Sepulveda Blvd
Torrance, CA 90505
Phone (424) 571-2603
8500 Bluffstone Cv
Ste A201
Austin, TX 78759
Phone (512) 220-5252
Organizations & group practices 4
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Physical Therapist
- Stevenson Ranch, CA
- NPI 1134253859
-
- Rehabilitation Clinic/Center
- Tustin, CA
- NPI 1548940885
-
dba Unified Health care Inc.
- Dermatology Physician
- Sherman Oaks, CA
- NPI 1902837735
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1358985600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1652054400000",
"number": "1568700532",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5139 MCCALLUM AVENUE",
"address_2": "BACK UNIT",
"city": "SOUTH GATE",
"state": "CA",
"postal_code": "902802426",
"telephone_number": "661-755-3872"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1731 W MEDICAL CENTER DR",
"city": "ANAHEIM",
"state": "CA",
"postal_code": "928011837",
"telephone_number": "714-778-5100"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SANWO",
"first_name": "MARISA",
"middle_name": "YUMI",
"name_prefix": "Ms.",
"credential": "OTR",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2013-01-24",
"last_updated": "2022-05-09",
"certification_date": "2022-05-09",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
},
{
"code": "225XG0600X",
"taxonomy_group": "",
"desc": "Occupational Therapist, Gerontology",
"state": "CA",
"license": "16076",
"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 May 9, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.