Active NPI
Ronald NG, OT
- Hand Occupational Therapist
- El Cerrito, CA
National Provider Identifier
1578158705
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Hand Occupational Therapist
- License
- 22167
- Practice address
- 6328 Fairmount Ave Ste 220
El Cerrito, CA 94530-3611 - Phone
- (510) 525-2700
- Fax
- (510) 525-2716
- NPI assigned
- Mar 9, 2021
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Hand Occupational Therapist | 225XH1200X | 22167 | CA | Primary |
Addresses
Primary practice location
6328 Fairmount Ave Ste 220
El Cerrito, CA 94530-3611
Mailing address
6328 Fairmount Ave Ste 220
El Cerrito, CA 94530-3611
Phone (510) 525-2700
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 22167 | Other | CA | OT LICENSE |
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1615248000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1615248000000",
"number": "1578158705",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6328 FAIRMOUNT AVE STE 220",
"city": "EL CERRITO",
"state": "CA",
"postal_code": "945303611",
"telephone_number": "510-525-2700",
"fax_number": "510-525-2716"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6328 FAIRMOUNT AVE STE 220",
"city": "EL CERRITO",
"state": "CA",
"postal_code": "945303611",
"telephone_number": "510-525-2700",
"fax_number": "510-525-2716"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NG",
"first_name": "RONALD",
"credential": "OT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2021-03-09",
"last_updated": "2021-03-09",
"certification_date": "2021-03-09",
"status": "A"
},
"taxonomies": [
{
"code": "225XH1200X",
"taxonomy_group": "",
"desc": "Occupational Therapist, Hand",
"state": "CA",
"license": "22167",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "OT LICENSE",
"identifier": "22167",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in El Cerrito, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 9, 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.