Individual provider Active NPI

Gabriel Lopez Nadayag, OTR/L

  • Occupational Therapist
  • San Marcos, CA
National Provider Identifier
1629569801
Registry record updated Jul 26, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
23944 Issued in CA
Practice address
250 N City Dr Apt 425
San Marcos, CA 92078-4438
Phone
(925) 922-2376
NPI assigned
May 23, 2018
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 26, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Technician 106S00000X 18-56053 CA
Occupational Therapist 225X00000X 23944 CA Primary

Addresses

Primary practice location

250 N City Dr Apt 425
San Marcos, CA 92078-4438

Mailing address

PO Box 5157
Modesto, CA 95352-5157
Phone (209) 572-2589

Other practice location 1

5601 Arnold Rd Fl 100
Dublin, CA 94568-7726
Phone (925) 833-7789

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
23944CAMDClinical Social Worker
18-56053CAMDBehavior Technician

Practice roles

OrganizationSpecialtyStatusNew patients
Scripps Clinic Medical Group 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": "1527033600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658793600000",
    "number": "1629569801",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 5157",
            "city": "MODESTO",
            "state": "CA",
            "postal_code": "953525157",
            "telephone_number": "209-572-2589",
            "fax_number": "209-572-1461"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "250 N CITY DR APT 425",
            "city": "SAN MARCOS",
            "state": "CA",
            "postal_code": "920784438",
            "telephone_number": "925-922-2376"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5601 Arnold Rd Fl 100",
            "address_purpose": "LOCATION",
            "city": "Dublin",
            "state": "CA",
            "postal_code": "945687726",
            "country_code": "US",
            "telephone_number": "925-833-7789",
            "fax_number": "209-572-1461",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NADAYAG",
        "first_name": "GABRIEL",
        "middle_name": "LOPEZ",
        "credential": "OTR/L",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-05-23",
        "last_updated": "2022-07-26",
        "certification_date": "2022-07-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "CA",
            "license": "18-56053",
            "primary": false
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "CA",
            "license": "23944",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Marcos, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 26, 2022; 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.