Active NPI
Pearl Daeun Kim, OTD, OTR/L
- Occupational Therapist
- Irvine, CA
National Provider Identifier
1689553034
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 28109
- Practice address
- 1063 McGaw Ave Ste 100
Irvine, CA 92614-5554 - Phone
- (714) 834-1111
- NPI assigned
- Aug 29, 2025
- 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 | 28109 | CA | Primary |
Addresses
Primary practice location
1063 McGaw Ave Ste 100
Irvine, CA 92614-5554
Mailing address
1063 McGaw Ave Ste 100
Irvine, CA 92614-5554
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Easter Seals Southern California, Inc | 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.
-
- Behavior Analyst
- Irvine, CA
- NPI 1619255841
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1756425600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1756425600000",
"number": "1689553034",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1063 MCGAW AVE STE 100",
"city": "IRVINE",
"state": "CA",
"postal_code": "926145554"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1063 MCGAW AVE STE 100",
"city": "IRVINE",
"state": "CA",
"postal_code": "926145554",
"telephone_number": "714-834-1111"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KIM",
"first_name": "PEARL",
"middle_name": "DAEUN",
"credential": "OTD, OTR/L",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2025-08-29",
"last_updated": "2025-08-29",
"certification_date": "2025-08-29",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "CA",
"license": "28109",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Irvine, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 29, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.