Individual provider Active NPI

Jill Murch, C.O.T.A.

  • Specialist
  • Corona, CA
National Provider Identifier
1609093269
Registry record updated Jan 26, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
OTA536 Issued in CA
Practice address
802 Magnolia Ave
Ste106
Corona, CA 92879-3104
Phone
(951) 734-0134
Fax
(951) 734-0724
NPI assigned
Apr 18, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 26, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X OTA536 CA Primary

Addresses

Primary practice location

802 Magnolia Ave
Ste106
Corona, CA 92879-3104

Mailing address

101 S Kraemer Blvd
Ste. 206
Placentia, CA 92870-6105
Phone (714) 961-8288

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
OTA536CAMDSpecialist

NPI Registry JSON

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

{
    "created_epoch": "1176854400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1232928000000",
    "number": "1609093269",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 S KRAEMER BLVD",
            "address_2": "STE. 206",
            "city": "PLACENTIA",
            "state": "CA",
            "postal_code": "928706105",
            "telephone_number": "714-961-8288",
            "fax_number": "714-524-3753"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "802 MAGNOLIA AVE",
            "address_2": "STE106",
            "city": "CORONA",
            "state": "CA",
            "postal_code": "928793104",
            "telephone_number": "951-734-0134",
            "fax_number": "951-734-0724"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MURCH",
        "first_name": "JILL",
        "credential": "C.O.T.A.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-04-18",
        "last_updated": "2009-01-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "CA",
            "license": "OTA536",
            "primary": true
        }
    ],
    "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 Jan 26, 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.