Individual provider Active NPI

Ignacio Remulla Cardenas Jr., OTR-L

  • Occupational Therapist
  • Cerritos, CA
National Provider Identifier
1750447330
Registry record updated Aug 20, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
OT206 Issued in CA
Practice address
19141 Bloomfield Ave
Cerritos, CA 90703-7104
Phone
(562) 924-8837
Fax
(562) 924-3507
NPI assigned
Dec 28, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 20, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X OT206 CA Primary

Addresses

Primary practice location

19141 Bloomfield Ave
Cerritos, CA 90703-7104

Mailing address

12109 Beverly Dr
Whittier, CA 90601-2702
Phone (562) 400-8386

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
OT206CAMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Pro Care Physical Therapy Past Accepting new patients
PCPT, Inc PastSince Jan 20, 2016 Accepting new patients
Alhambra Family Medical Center Past Accepting new patients

Organizations & group practices 3

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": "1167264000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1345420800000",
    "number": "1750447330",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12109 BEVERLY DR",
            "city": "WHITTIER",
            "state": "CA",
            "postal_code": "906012702",
            "telephone_number": "562-400-8386",
            "fax_number": "562-699-1989"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19141 BLOOMFIELD AVE",
            "city": "CERRITOS",
            "state": "CA",
            "postal_code": "907037104",
            "telephone_number": "562-924-8837",
            "fax_number": "562-924-3507"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARDENAS",
        "first_name": "IGNACIO",
        "middle_name": "REMULLA",
        "name_prefix": "Mr.",
        "name_suffix": "Jr.",
        "credential": "OTR-L",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-12-28",
        "last_updated": "2012-08-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "CA",
            "license": "OT206",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cerritos, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 20, 2012; 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.