Gustavo Corona Jr., OTR/L

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

18371 Issued in CA

Practice address

245 W Sierra Madre Blvd # Ca91024
Sierra Madre, CA 91024-2355

Phone

(626) 355-5700

NPI assigned

Feb 9, 2018

Last updated

Jun 12, 2020By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

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

{
    "created_epoch": "1518134400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1591920000000",
    "number": "1629577127",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2130 SAWTELLE BLVD STE 300",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900256266",
            "telephone_number": "626-589-0787"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "245 W SIERRA MADRE BLVD # CA91024",
            "city": "SIERRA MADRE",
            "state": "CA",
            "postal_code": "910242355",
            "telephone_number": "626-355-5700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CORONA",
        "first_name": "GUSTAVO",
        "name_suffix": "Jr.",
        "credential": "OTR/L",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-02-09",
        "last_updated": "2020-06-12",
        "certification_date": "2020-06-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "CA",
            "license": "18371",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Choices Counseling & Skills Center
• Helmi Heleen Churcher, CCC-SLP
• City of Sierra Madre
• Cynthia Cooper
• Core Behavioral Healthlicensed Marriage & Family Therapy Inc.
• Linda Crawford, DO
• Lorrie Hill Crawford, PSY.D.
• Crystal Czubernat, MA, LMHC
• Isabella Marie Daher, PHARMD
• Dan Tien Nguyen, DDS, Apc

• Occupational Therapist in Sierra Madre, CA
• Providers in Sierra Madre, CA by specialty
• Occupational Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 12, 2020; 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.