NPIMap

Organization Active NPI

Nja Therapy Services, Inc

  • Occupational Therapist
  • Corona, CA
National Provider Identifier
1578740890
Registry record updated Jul 6, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
8320 Issued in CA
Legal business name
NJA THERAPY SERVICES, INC
Practice address
1655 E 6TH St # 204
Corona, CA 92879-1732
Phone
(909) 833-1099
Fax
(888) 856-3880
NPI assigned
Jan 29, 2008
Last updated
Jul 6, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 6, 2023

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

Authorized official

Name
Naomi Jaye Achondo, OTD OTRLNPI 1245429356
Title
Ceo
Phone
(909) 575-8078

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 6

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 34934 CA
Occupational Therapist 225X00000X 8320 CA Primary
Pediatric Occupational Therapist 225XP0200X 8320 CA
Speech-Language Assistant 2355S0801X
Speech-Language Pathologist 235Z00000X 15876 CA
Early Intervention Provider Agency 252Y00000X 8320 CA

Addresses

Primary practice location

1655 E 6TH St # 204
Corona, CA 92879-1732

Mailing address

310 N Indian Hill Blvd # 413
Claremont, CA 91711-4611
Phone (909) 575-8078

Other practice location 1

3629 Lynoak St Ste B
Pomona, CA 91767-1232
Phone (909) 833-1099

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20120525000284 CA Part B Supplier - Physical/Occupational Therapy Group in Private Practice 0648433805 Receives reassigned benefits from 1 practitioner
Practice locations: Pomona, CA

National Provider Directory

National Provider Directory
Tax ID family
Nja Therapy Services2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

630 S Indian Hill Blvd
Ste 5
Claremont, CA 91711
Phone (909) 451-8521

1655 E 6th St
#204
Corona, CA 92879
Phone (909) 833-1099

3629 Lynoak St
Ste B
Pomona, CA 91767
Phone (909) 575-8078

Practitioners & affiliated clinicians

Practitioners 11

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1201564800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1688601600000",
    "number": "1578740890",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "310 N INDIAN HILL BLVD # 413",
            "city": "CLAREMONT",
            "state": "CA",
            "postal_code": "917114611",
            "telephone_number": "909-575-8078",
            "fax_number": "888-856-3880"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1655 E 6TH ST # 204",
            "city": "CORONA",
            "state": "CA",
            "postal_code": "928791732",
            "telephone_number": "909-833-1099",
            "fax_number": "888-856-3880"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3629 Lynoak St Ste B",
            "address_purpose": "LOCATION",
            "city": "Pomona",
            "state": "CA",
            "postal_code": "917671232",
            "country_code": "US",
            "telephone_number": "909-833-1099",
            "fax_number": "888-856-3880",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "NJA THERAPY SERVICES, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-01-29",
        "last_updated": "2023-07-06",
        "certification_date": "2023-07-06",
        "status": "A",
        "authorized_official_last_name": "ACHONDO",
        "authorized_official_first_name": "NAOMI JAYE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "909-575-8078",
        "authorized_official_credential": "OTD OTRL"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "34934",
            "primary": false
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "CA",
            "license": "8320",
            "primary": true
        },
        {
            "code": "225XP0200X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Pediatrics",
            "state": "CA",
            "license": "8320",
            "primary": false
        },
        {
            "code": "2355S0801X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Speech-Language Assistant",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "CA",
            "license": "15876",
            "primary": false
        },
        {
            "code": "252Y00000X",
            "taxonomy_group": "",
            "desc": "Early Intervention Provider Agency",
            "state": "CA",
            "license": "8320",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Corona, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 6, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.