Shawyon Galvin Aminirad, OTR/L
Individual provider Active NPI Occupational Therapist · Cupertino, CA
NPI 1740740141 · NPPES record last updated May 11, 2023
Key facts
- NPI
- 1740740141
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Occupational Therapist 225X00000X
- License
- 23309 (CA)
- Practice address
- 10125 S de Anza Blvd
Cupertino, CA 95014-2105 - Phone
- (408) 865-1365
- NPI assigned
- Mar 21, 2019
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 23309 | CA | MD | Occupational Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Center for Developing Kids | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Technician | 106S00000X | |||
| Occupational Therapist | 225X00000X | 23309 | CA | Yes |
Addresses
Primary practice location
10125 S de Anza Blvd
Cupertino, CA 95014-2105
Mailing address
10125 S de Anza Blvd
Cupertino, CA 95014-2105
Phone (408) 865-1365
Other practice location 1
16782 Von Karman Ave Ste 11
Irvine, CA 92606-2417
Phone (949) 833-2237
Other providers in Cupertino, CA
- Fernand Rene Alvarez III
- Sara Alves
- Aneesha Rao Amarnath
- Amazing Grace Medical Acupuncture Clinic Inc.
- Cheryl Kathryn Ambler
- Mohadeseh Amouei Langeroudi
- Andante Pediatric Therapy, PC
- Anto Acupuncture & Chinese Medicine Clinic,Inc
- Apogee Health Solutions
- Apple Inc
All providers in Cupertino, CA · Occupational Therapist in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 11, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.