Active NPI
Alexis Roxanne Aguirre, OTR/L
- Pediatric Occupational Therapist
- Riverside, CA
National Provider Identifier
1669950713
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Occupational Therapist
- License
- 18888
- Practice address
- 6180 Brockton Ave Ste 102
Riverside, CA 92506-2259 - Phone
- (951) 684-6500
- NPI assigned
- Jul 31, 2018
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Occupational Therapist | 225XP0200X | 18888 | CA | Primary |
Addresses
Primary practice location
6180 Brockton Ave Ste 102
Riverside, CA 92506-2259
Mailing address
6180 Brockton Ave Ste 102
Riverside, CA 92506-2259
Phone (951) 684-6500
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
| License | State | Type | Specialty |
|---|---|---|---|
| 18888 | CA | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1532995200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1532995200000",
"number": "1669950713",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6180 BROCKTON AVE STE 102",
"city": "RIVERSIDE",
"state": "CA",
"postal_code": "925062259",
"telephone_number": "951-684-6500"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6180 BROCKTON AVE STE 102",
"city": "RIVERSIDE",
"state": "CA",
"postal_code": "925062259",
"telephone_number": "951-684-6500"
}
],
"practiceLocations": [],
"basic": {
"last_name": "AGUIRRE",
"first_name": "ALEXIS",
"middle_name": "ROXANNE",
"credential": "OTR/L",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2018-07-31",
"last_updated": "2018-07-31",
"status": "A"
},
"taxonomies": [
{
"code": "225XP0200X",
"taxonomy_group": "",
"desc": "Occupational Therapist, Pediatrics",
"state": "CA",
"license": "18888",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Riverside, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 31, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.