Active NPI
Victoria Adams
- Occupational Therapist
- Newport Beach, CA
National Provider Identifier
1760418537
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 3046
- Practice address
- 360 San Miguel Dr
Suite 302
Newport Beach, CA 92660-7829 - Phone
- (949) 644-6050
- Fax
- (949) 644-4427
- NPI assigned
- Jun 24, 2006
- 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 | 3046 | CA | Primary |
Addresses
Primary practice location
360 San Miguel Dr
Suite 302
Newport Beach, CA 92660-7829
Mailing address
360 San Miguel Dr
Suite 302
Newport Beach, CA 92660-7829
Phone (949) 644-6050
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1679518716 | Other | CA | GRP NPI |
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
| License | State | Type | Specialty |
|---|---|---|---|
| 3046 | CA | MD | Occupational Therapy Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Laguna Beach Rehab Inc | 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.
-
- Clinic/Center
- Laguna Beach, CA
- NPI 1578514832
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1151107200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1238112000000",
"number": "1760418537",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "360 SAN MIGUEL DR",
"address_2": "SUITE 302",
"city": "NEWPORT BEACH",
"state": "CA",
"postal_code": "926607829",
"telephone_number": "949-644-6050",
"fax_number": "949-644-4427"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "360 SAN MIGUEL DR",
"address_2": "SUITE 302",
"city": "NEWPORT BEACH",
"state": "CA",
"postal_code": "926607829",
"telephone_number": "949-644-6050",
"fax_number": "949-644-4427"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ADAMS",
"first_name": "VICTORIA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-06-24",
"last_updated": "2009-03-27",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "CA",
"license": "3046",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "GRP NPI",
"identifier": "1679518716",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Newport Beach, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 27, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.