Von Jared Omo

Primary specialty

Occupational Therapy AssistantTaxonomy code 224Z00000X

License

2050 Issued in CA

Practice address

1350 Euclid Ave
San Diego, CA 92105-5424

Phone

(619) 263-2166

NPI assigned

Jun 5, 2020

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1591315200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1591315200000",
    "number": "1780208728",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5440 BALTIMORE DR UNIT 171",
            "city": "LA MESA",
            "state": "CA",
            "postal_code": "919422062",
            "telephone_number": "619-813-8895"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1350 EUCLID AVE",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921055424",
            "telephone_number": "619-263-2166"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OMO",
        "first_name": "VON JARED",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-06-05",
        "last_updated": "2020-06-05",
        "certification_date": "2020-06-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "224Z00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapy Assistant",
            "state": "CA",
            "license": "2050",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Bwaar Omer
• Mohamed S Omer
• Madison Omholt, PHD., LMFT, SEP
• Mojdeh Omidi, L.AC.
• Shadi Omidi, M.D.
• Aisha Omorodion, MD
• Omoto ABA Consulting, LLC
• Martin Jason Omoto, M.S., BCBA
• Omran MD Inc
• Hulya Julie Omran, DNP

• Occupational Therapy Assistant in San Diego, CA
• Providers in San Diego, CA by specialty
• Occupational Therapy Assistant in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 5, 2020; 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.