Individual provider Active NPI

Brianna Lomba Hall, OTRL

  • Occupational Therapist
  • San Jose, CA
National Provider Identifier
1598800872
Registry record updated Feb 12, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
OT9199 Issued in CA
Practice address
1520 Parkmoor Ave Ste a
San Jose, CA 95128-2422
Phone
(408) 241-9911
Fax
(408) 241-7788
NPI assigned
Feb 21, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 12, 2010

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 OT9199 CA Primary

Addresses

Primary practice location

1520 Parkmoor Ave Ste a
San Jose, CA 95128-2422

Mailing address

1520 Parkmoor Ave Ste a
San Jose, CA 95128-2422
Phone (408) 241-9911

Other names 1

  • Ms. Tracy Brianna Lomba Former name

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
OT9199CAMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
I Can Too Learning Center, Inc Past Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1172016000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1265932800000",
    "number": "1598800872",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1520 PARKMOOR AVE STE A",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951282422",
            "telephone_number": "408-241-9911",
            "fax_number": "408-241-7788"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1520 PARKMOOR AVE STE A",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951282422",
            "telephone_number": "408-241-9911",
            "fax_number": "408-241-7788"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HALL",
        "first_name": "BRIANNA",
        "middle_name": "LOMBA",
        "name_prefix": "Mrs.",
        "credential": "OTRL",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-02-21",
        "last_updated": "2010-02-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "CA",
            "license": "OT9199",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "TRACY",
            "last_name": "LOMBA",
            "middle_name": "BRIANNA",
            "prefix": "MS.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in San Jose, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 12, 2010; 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.