Active NPI
Angela Adams, OTR/L
- Occupational Therapist
- Corona, CA
National Provider Identifier
1720695000
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 4358
- Practice address
- 2600 S Main St
Corona, CA 92882-5941 - Phone
- (951) 736-4700
- NPI assigned
- Sep 30, 2020
- 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 |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | 4358 | CA | Primary |
Addresses
Primary practice location
2600 S Main St
Corona, CA 92882-5941
Mailing address
PO Box 2309
Wrightwood, CA 92397-2309
Phone (760) 812-8185
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | Wrightwood | Health Information Exchange (HIE) |
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1601424000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1601424000000",
"number": "1720695000",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 2309",
"city": "WRIGHTWOOD",
"state": "CA",
"postal_code": "923972309",
"telephone_number": "760-812-8185"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2600 S MAIN ST",
"city": "CORONA",
"state": "CA",
"postal_code": "928825941",
"telephone_number": "951-736-4700"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ADAMS",
"first_name": "ANGELA",
"credential": "OTR/L",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2020-09-30",
"last_updated": "2020-09-30",
"certification_date": "2020-09-24",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "CA",
"license": "4358",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "Wrightwood",
"affiliation": "N",
"use": "HIE",
"useDescription": "Health Information Exchange (HIE)",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "Wrightwood",
"address_1": "2600 S Main St",
"city": "Corona",
"state": "CA",
"country_code": "US",
"postal_code": "928825941",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in Corona, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 30, 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.