Individual provider Active NPI

Jarae Quintana, OTR/L

  • Occupational Therapist
  • Laguna Hills, CA
National Provider Identifier
1578744579
Registry record updated Nov 18, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
OT9558 Issued in CA
Practice address
23293 S Pointe Dr
Laguna Hills, CA 92653-1447
Phone
(949) 770-5843
NPI assigned
Nov 18, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 18, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X OT9558 CA Primary

Addresses

Primary practice location

23293 S Pointe Dr
Laguna Hills, CA 92653-1447

Mailing address

22131 Padova
Laguna Hills, CA 92653-1850
Phone (949) 830-2821

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

LicenseStateTypeSpecialty
OT9558CAMDOccupational Therapist

NPI Registry JSON

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

{
    "created_epoch": "1195344000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1195344000000",
    "number": "1578744579",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22131 PADOVA",
            "city": "LAGUNA HILLS",
            "state": "CA",
            "postal_code": "926531850",
            "telephone_number": "949-830-2821"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23293 S POINTE DR",
            "city": "LAGUNA HILLS",
            "state": "CA",
            "postal_code": "926531447",
            "telephone_number": "949-770-5843"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "QUINTANA",
        "first_name": "JARAE",
        "credential": "OTR/L",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-11-18",
        "last_updated": "2007-11-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "CA",
            "license": "OT9558",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Laguna Hills, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 18, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.