Individual provider Active NPI

Pricelda Cid

  • Environmental Modification Occupational Therapist
  • San Francisco, CA
National Provider Identifier
1629421847
Registry record updated Aug 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Environmental Modification Occupational TherapistTaxonomy code 225XE0001X
License
16729 Issued in CA
Practice address
650 Mission St
San Francisco, CA 94105-4059
Phone
(310) 920-9104
NPI assigned
Jul 22, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 7, 2023

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X 020501 NY
Occupational Therapist 225X00000X 16729 CA
Ergonomics Occupational Therapist 225XE1200X
Environmental Modification Occupational Therapist 225XE0001X 16729 CA Primary

Addresses

Primary practice location

650 Mission St
San Francisco, CA 94105-4059

Mailing address

490 Lake Park Ave Unit 10583
Oakland, CA 94610-8021
Phone (310) 920-9104

Other practice location 1

322 Hanover Ave Apt 309
Oakland, CA 94606-1394
Phone (310) 920-9104 ext. 09104

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
020501NYMDClinical Psychologist
16729CAMDDental Hygienist

Practice roles

OrganizationSpecialtyStatusNew patients
Ergotherapy PC Occupational Therapist CurrentSince Aug 13, 2023 Accepting new patients
Ergotherapy Inc CurrentSince Oct 1, 2022 Accepting new patients

Locations

490 Lake Park Ave
Unit 10583
Oakland, CA 94610

3345 Grand Ave
Ste 1
Oakland, CA 94610
Phone (510) 275-5300

Interoperability endpoints

  • Direct secure messaging: pricelda.cid.p2@direct.ucpnyc.nextgenshare.com

Organizations & group practices 2

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": "1469145600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1691366400000",
    "number": "1629421847",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "490 LAKE PARK AVE UNIT 10583",
            "city": "OAKLAND",
            "state": "CA",
            "postal_code": "946108021",
            "telephone_number": "310-920-9104"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "650 MISSION ST",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941054059",
            "telephone_number": "310-920-9104"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "322 Hanover Ave Apt 309",
            "address_purpose": "LOCATION",
            "city": "Oakland",
            "state": "CA",
            "postal_code": "946061394",
            "country_code": "US",
            "telephone_number": "310-920-9104 x09104",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CID",
        "first_name": "PRICELDA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-07-22",
        "last_updated": "2023-08-07",
        "certification_date": "2023-08-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "NY",
            "license": "020501",
            "primary": false
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "CA",
            "license": "16729",
            "primary": false
        },
        {
            "code": "225XE1200X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Ergonomics",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "225XE0001X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Environmental Modification",
            "state": "CA",
            "license": "16729",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Francisco, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 7, 2023; 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.