Active NPI
Arvin E Ignacio, OTR/L, CGCP
- Occupational Therapist
- Fresno, CA
National Provider Identifier
1770317331
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- OT16970
- Practice address
- 3034 E Herndon Ave
Fresno, CA 93720-0300 - Phone
- (559) 321-0883
- NPI assigned
- Aug 27, 2024
- Sex
- Male
- 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 | OT16970 | CA | Primary |
Addresses
Primary practice location
3034 E Herndon Ave
Fresno, CA 93720-0300
Mailing address
3544 Richmond Ave
Clovis, CA 93619-8035
Phone (815) 272-6416
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
| License | State | Type | Specialty |
|---|---|---|---|
| OT16970 | CA | MD | Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1724716800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1724716800000",
"number": "1770317331",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3544 RICHMOND AVE",
"city": "CLOVIS",
"state": "CA",
"postal_code": "936198035",
"telephone_number": "815-272-6416"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3034 E HERNDON AVE",
"city": "FRESNO",
"state": "CA",
"postal_code": "937200300",
"telephone_number": "559-321-0883"
}
],
"practiceLocations": [],
"basic": {
"last_name": "IGNACIO",
"first_name": "ARVIN",
"middle_name": "E",
"credential": "OTR/L, CGCP",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2024-08-27",
"last_updated": "2024-08-27",
"certification_date": "2024-08-27",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "CA",
"license": "OT16970",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Fresno, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 27, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.