Active NPI
Katherine Ruedas
- Occupational Therapy Assistant
- Anaheim, CA
National Provider Identifier
1790452753
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapy Assistant
- License
- 5631
- Practice address
- 1360 S Anaheim Blvd Ste 150
Anaheim, CA 92805-6205 - Phone
- (714) 776-1231
- Fax
- (714) 776-0802
- NPI assigned
- Aug 26, 2021
- Last updated
- Aug 26, 2021
- Sex
- Female
- Sole proprietor
- No
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 Therapy Assistant | 224Z00000X | 5631 | CA | Primary |
Addresses
Primary practice location
1360 S Anaheim Blvd Ste 150
Anaheim, CA 92805-6205
Mailing address
1360 S Anaheim Blvd Ste 150
Anaheim, CA 92805-6205
Phone (714) 776-1231
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 |
|---|---|---|---|
| 5631 | CA | MD | Occupational Therapy Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1629936000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1629936000000",
"number": "1790452753",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1360 S ANAHEIM BLVD STE 150",
"city": "ANAHEIM",
"state": "CA",
"postal_code": "928056205",
"telephone_number": "714-776-1231",
"fax_number": "714-776-0802"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1360 S ANAHEIM BLVD STE 150",
"city": "ANAHEIM",
"state": "CA",
"postal_code": "928056205",
"telephone_number": "714-776-1231",
"fax_number": "714-776-0802"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RUEDAS",
"first_name": "KATHERINE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-08-26",
"last_updated": "2021-08-26",
"certification_date": "2021-08-26",
"status": "A"
},
"taxonomies": [
{
"code": "224Z00000X",
"taxonomy_group": "",
"desc": "Occupational Therapy Assistant",
"state": "CA",
"license": "5631",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Anaheim, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 26, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.