Active NPI
Itahi Arteaga, OTD OTR/L
- Occupational Therapist
- San Diego, CA
National Provider Identifier
1710536578
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 26021
- Practice address
- 501 W Broadway Ste 800
San Diego, CA 92101-3546 - Phone
- (877) 418-2978
- Fax
- (866) 500-2186
- NPI assigned
- Sep 5, 2019
- 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 | 26021 | CA | Primary |
Addresses
Primary practice location
501 W Broadway Ste 800
San Diego, CA 92101-3546
Mailing address
8950 Villa la Jolla Dr Ste C131
La Jolla, CA 92037-1707
Phone (833) 587-1784
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 |
|---|---|---|---|
| 26021 | CA | MD | Mental Health Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Positive Development of California PC | Behavior Technician | 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": "1567641600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1706572800000",
"number": "1710536578",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8950 VILLA LA JOLLA DR STE C131",
"city": "LA JOLLA",
"state": "CA",
"postal_code": "920371707",
"telephone_number": "833-587-1784"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "501 W BROADWAY STE 800",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "921013546",
"telephone_number": "877-418-2978",
"fax_number": "866-500-2186"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ARTEAGA",
"first_name": "ITAHI",
"credential": "OTD OTR/L",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-09-05",
"last_updated": "2024-01-30",
"certification_date": "2024-01-30",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "CA",
"license": "26021",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in San Diego, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 30, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.