Jaime Noelle Menjivar, MS, OTR/L

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

16113 Issued in CA

Practice address

27177 Seco Canyon Rd
Saugus, CA 91350-1550

Phone

(661) 294-5340

NPI assigned

May 13, 2020

Last updated

May 13, 2020By 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 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Saugus Union Elementary School District

  • Local Education Agency (LEA)
  • Santa Clarita, CA
  • NPI 1144378720
  NPD (past)

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

{
    "created_epoch": "1589328000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1589328000000",
    "number": "1811519713",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24930 AVENUE STANFORD",
            "city": "VALENCIA",
            "state": "CA",
            "postal_code": "913551272",
            "telephone_number": "661-294-5330"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "27177 SECO CANYON RD",
            "city": "SAUGUS",
            "state": "CA",
            "postal_code": "913501550",
            "telephone_number": "661-294-5340"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MENJIVAR",
        "first_name": "JAIME",
        "middle_name": "NOELLE",
        "credential": "MS, OTR/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-05-13",
        "last_updated": "2020-05-13",
        "certification_date": "2020-05-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "CA",
            "license": "16113",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jmenjivar@saugususd.org",
            "affiliation": "N",
            "endpointDescription": "work email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "work email",
            "address_1": "27177 Seco Canyon Rd",
            "city": "Saugus",
            "state": "CA",
            "country_code": "US",
            "postal_code": "913501550",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Regan B Lawrence, DDS
• Julie Ann Laws, MSW
• Robert S Lim, D.D.S.
• Laurelle Marie Mathis
• Fanjie Meng, L.AC., O.M.D.
• Kristin Miller, M.S., CCC-SLP
• John Moraga, D.D.S.
• Christopher Muff, SURFACE IDC
• Jose P Mutia, MD
• Occupational Health Centers of California, a Medical Corporation (Concentra Medical Center)

• Occupational Therapist in Saugus, CA
• Providers in Saugus, CA by specialty
• Occupational Therapist in California

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