Alicia J Oldham, OT

Primary specialty

Pediatric Occupational TherapistTaxonomy code 225XP0200X

License

10448 Issued in CA

Practice address

18350 Mount Langley St
105
Fountain Valley, CA 92708-6900

Phone

(714) 965-2324

NPI assigned

Jan 18, 2008

Last updated

Apr 13, 2009By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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

• Childrens Learning Connection, LLC

  • Speech-Language Pathologist
  • Huntington Beach, CA
  • NPI 1689723595

  Pediatrics

  NPD (past)
• Procare3, Inc.

  dba Fyzical Therapy and Balance Centers

  • Rehabilitation Practitioner
  • Omaha, NE
  • NPI 1942266945
  NPD (past)
• Stones Worth Stepping, P.C.

  • Occupational Therapist
  • Omaha, NE
  • NPI 1861537466
  NPD (past)

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

{
    "created_epoch": "1200614400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1239580800000",
    "number": "1598941643",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18350 MT. LANGLEY STREET",
            "address_2": "105",
            "city": "IRVINE",
            "state": "CA",
            "postal_code": "92708",
            "telephone_number": "714-965-2324"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18350 MOUNT LANGLEY ST",
            "address_2": "105",
            "city": "FOUNTAIN VALLEY",
            "state": "CA",
            "postal_code": "927086900",
            "telephone_number": "714-965-2324"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OLDHAM",
        "first_name": "ALICIA",
        "middle_name": "J",
        "credential": "OT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-01-18",
        "last_updated": "2009-04-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "NE",
            "license": "1321",
            "primary": false
        },
        {
            "code": "225XP0200X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Pediatrics",
            "state": "CA",
            "license": "10448",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "47065477702",
            "state": "NE"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Angela Jinsook Oh, MD
• Joo Young Oh, AMFT
• Julie Joohyun Oh, MD
• Marcia Okawa, CNM
• Salman N. M. Okour, M.D
• Elizabeth Olle, M.D
• Angelina Olson, BT
• Olamide O Omolewu-Dawodu
• Jacqueline T On, D.C.
• Ellen Ong, PHARM.D.

• Pediatric Occupational Therapist in Fountain Valley, CA
• Providers in Fountain Valley, CA by specialty
• Pediatric Occupational Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 13, 2009; 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.