Individual provider Active NPI

Ashley Agustin

  • Occupational Therapy Assistant
  • Riverside, CA
National Provider Identifier
1750185997
Registry record updated Apr 4, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational Therapy AssistantTaxonomy code 224Z00000X
License
6897 Issued in CA
Practice address
4334 Latham St Ste 110
Riverside, CA 92501-1748
Phone
(909) 519-8912
NPI assigned
Apr 4, 2025
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 4, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapy Assistant 224Z00000X 6897 CA Primary

Addresses

Primary practice location

4334 Latham St Ste 110
Riverside, CA 92501-1748

Mailing address

895 E Alvarado St Apt L
Pomona, CA 91767-4936
Phone (626) 225-6391

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

LicenseStateTypeSpecialty
6897CAMDOccupational Therapy Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Building Blocks Therapy 4 Kids, PC CurrentSince Apr 6, 2025 Accepting new patients
Building Blocks Therapy 4 Kids, LLC PastSince Apr 6, 2025 Accepting new patients

Locations

4334 Latham St
Ste 110
Riverside, CA 92501
Phone (909) 251-1321

Organizations & group practices 2

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": "1743724800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1743724800000",
    "number": "1750185997",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "895 E ALVARADO ST APT L",
            "city": "POMONA",
            "state": "CA",
            "postal_code": "917674936",
            "telephone_number": "626-225-6391"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4334 LATHAM ST STE 110",
            "city": "RIVERSIDE",
            "state": "CA",
            "postal_code": "925011748",
            "telephone_number": "909-519-8912"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AGUSTIN",
        "first_name": "ASHLEY",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-04-04",
        "last_updated": "2025-04-04",
        "certification_date": "2025-04-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "224Z00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapy Assistant",
            "state": "CA",
            "license": "6897",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Riverside, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 4, 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.

Verify at the official NPI Registry.