Active NPI
Tamara McCulley, OTR/L
- Occupational Therapist
- Orange, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 16393
- Practice address
- 3111 N Tustin St Ste 180
Orange, CA 92865-1752 - Phone
- (714) 282-7701
- NPI assigned
- Jun 30, 2016
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | 16393 | CA | Primary |
Addresses
Primary practice location
3111 N Tustin St Ste 180
Orange, CA 92865-1752
Mailing address
3111 N Tustin St Ste 180
Orange, CA 92865-1752
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Occupational Therapist in Private Practice
- Education
- Other, 2016
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
2888 Long Beach Blvd
Suite 405
Long Beach, CA 90806-1551
Phone (562) 595-4489
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 16393 | CA | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| California Rehabilitation & Sports Therapy a California Physical Ther | Current | Accepting new patients | |
| California Rehabilitation & Sports Therapy a California Physical Ther | Current | Accepting new patients | |
| Ross Nathan MD, Inc. | Current | Accepting new patients | |
| California Rehab & Sports Therapy | Current | Accepting new patients |
Locations
505 N Euclid St
Ste 680
Anaheim, CA 92801
Phone (714) 780-0010
1640 Newport Blvd
Ste 260
Costa Mesa, CA 92627
Phone (949) 335-7967
12555 Lakewood Blvd
Ste F
Downey, CA 90242
Phone (562) 247-0158
24050 Aliso Creek Rd
Ste 1C
Laguna Niguel, CA 92677
Phone (949) 317-4454
2888 Long Beach Blvd
Ste 405
Long Beach, CA 90806
Phone (562) 595-4489
3918 Long Beach Blvd
Ste 100
Long Beach, CA 90807
Phone (562) 424-9000
200 Newport Center Dr
Ste 213
Newport Beach, CA 92660
Phone (949) 644-0316
3111 N Tustin St
Ste 180
Orange, CA 92865
Phone (714) 282-7701
Organizations & group practices 4
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.
-
- Multi-Specialty Clinic/Center
- Mission Viejo, CA
- NPI 1386696409
-
- Orthopaedic Hand Surgery Physician
- Long Beach, CA
- NPI 1467465039
-
- Multi-Specialty Clinic/Center
- Los Angeles, CA
- NPI 1508540279
-
- Physical Therapy Clinic/Center
- Downey, CA
- NPI 1497708879
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1467244800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1661817600000",
"number": "1689025637",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3111 N TUSTIN ST STE 180",
"city": "ORANGE",
"state": "CA",
"postal_code": "928651752"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3111 N TUSTIN ST STE 180",
"city": "ORANGE",
"state": "CA",
"postal_code": "928651752",
"telephone_number": "714-282-7701"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MCCULLEY",
"first_name": "TAMARA",
"credential": "OTR/L",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-06-30",
"last_updated": "2022-08-30",
"certification_date": "2022-08-30",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "CA",
"license": "16393",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Orange, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 30, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.