Active NPI
Amanda Clark, OTR/L
- Occupational Therapist
- Chino, CA
National Provider Identifier
1598135121
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 15657
- Practice address
- 13461 Ramona Ave
Chino, CA 91710-5029 - Phone
- (909) 628-1201
- NPI assigned
- Sep 25, 2015
- Last updated
- Jun 24, 2026
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | 15657 | CA | Primary |
Addresses
Primary practice location
13461 Ramona Ave
Chino, CA 91710-5029
Mailing address
263 S Cambridge St
Orange, CA 92866-2065
Phone (951) 545-4044
Other practice location 1
500 W Central Ave Ste B
Brea, CA 92821-3036
Phone (714) 529-5022
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 |
|---|---|---|---|
| 15657 | CA | MD | Pediatric Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1443139200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1782259200000",
"number": "1598135121",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "263 S CAMBRIDGE ST",
"city": "ORANGE",
"state": "CA",
"postal_code": "928662065",
"telephone_number": "951-545-4044"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "13461 RAMONA AVE",
"city": "CHINO",
"state": "CA",
"postal_code": "917105029",
"telephone_number": "909-628-1201"
}
],
"practiceLocations": [
{
"address_1": "500 W Central Ave Ste B",
"address_purpose": "LOCATION",
"city": "Brea",
"state": "CA",
"postal_code": "928213036",
"country_code": "US",
"telephone_number": "714-529-5022",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "CLARK",
"first_name": "AMANDA",
"credential": "OTR/L",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-09-25",
"last_updated": "2026-06-24",
"certification_date": "2026-06-24",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "CA",
"license": "15657",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Chino, CA
- Noah Chung, PHARMD
- David Chuquimia
- Jason Churchwell, PHD
- Jessica I Cifuentes, NP
- Citrus Valley Physician Partners
- Jaylesse Shabri Clark
- Stephen Clark, SLP
- Claudia Somoano LMFT a Licensed Marriage and Family Therapy Prof Corp (Beyond Counseling and Healing)
- Robert Alphus Clinton, M.D.
- Teri Renee Clipps, PH.D.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 24, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.