Naurezah Shannon Kaiser, OTR/L

Primary specialty

Pediatric Occupational TherapistTaxonomy code 225XP0200X

License

OT21904 Issued in CA

Practice address

1063 McGaw Ave Ste 100
Irvine, CA 92614-5554

Phone

(714) 834-1111

NPI assigned

Feb 25, 2019

Last updated

Sep 13, 2021By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1551052800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1631491200000",
    "number": "1801353974",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1063 MCGAW AVE STE 100",
            "city": "IRVINE",
            "state": "CA",
            "postal_code": "926145554"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1063 MCGAW AVE STE 100",
            "city": "IRVINE",
            "state": "CA",
            "postal_code": "926145554",
            "telephone_number": "714-834-1111"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "713 W Commonwealth Ave",
            "address_purpose": "LOCATION",
            "city": "Fullerton",
            "state": "CA",
            "postal_code": "928321612",
            "country_code": "US",
            "telephone_number": "714-879-4274",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KAISER",
        "first_name": "NAUREZAH",
        "middle_name": "SHANNON",
        "credential": "OTR/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-02-25",
        "last_updated": "2021-09-13",
        "certification_date": "2021-09-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "225XP0200X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Pediatrics",
            "state": "CA",
            "license": "OT21904",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kaiser Foundation Health Plan Inc
• Kaiser Foundation Health Plan Inc (Kaiser Permanente Pharmacy 366)
• Kaiser Foundation Health Plan Inc
• Kaiser Foundation Hospitals
• Kaiser Permanente
• Ali Kakar, D.C.
• Sarah Elizabeth Kalaf
• Kristin Kalani, M.A., CCC-SLP
• Adie Kalansky, MD
• Baran Kalantari Rad

• Pediatric Occupational Therapist in Irvine, CA
• Providers in Irvine, CA by specialty
• Pediatric Occupational Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 13, 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.

Verify at the official NPI Registry.