Individual provider Active NPI

Nancy Berard-Shuman, OTR/L, CHT

  • Occupational Therapist
  • Santa Ana, CA
National Provider Identifier
1841626702
Registry record updated Mar 16, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
3701 Issued in CA
Practice address
1600 N Broadway Suite 860
Santa Ana, CA 92706
Phone
(714) 831-5599
Fax
(714) 783-3318
NPI assigned
Sep 23, 2013
Last updated
Mar 16, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 16, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X 3701 CA Primary
Hand Occupational Therapist 225XH1200X 201605068

Addresses

Primary practice location

1600 N Broadway Suite 860
Santa Ana, CA 92706

Mailing address

1600 N Broadway Suite 860
Santa Ana, CA 92706
Phone (714) 831-5599

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20231109000041 CA Practitioner - Occupational Therapist in Private Practice 9335596592 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Occupational Therapist in Private Practice
Education
Boston University School of Medicine, 1977
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Community Care Physical Therapy IncGroup PAC ID 3870987985, 5 clinicians

Practice addresses (Care Compare)

7485 Mission Valley Rd
Suite 104a
San Diego, CA 92108-4422
Phone (619) 291-8930

8996 Miramar Rd
Suite 315
San Diego, CA 92126-4463
Phone (619) 818-6873

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
3701CAMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
La Jolla Spine Institute Medical Group, Inc. CurrentSince Sep 25, 2023 Accepting new patients
California Orthopaedic Institute Medical Associates, Inc CurrentSince Mar 1, 2025 Accepting new patients
San Dieguito Orthopedic Medical Center P C CurrentSince Sep 25, 2023 Accepting new patients
California Orthopaedic Institute Medical Associates, Inc. CurrentSince Mar 1, 2025 Accepting new patients
Community Care Physical Therapy Inc. Occupational Therapist CurrentSince Feb 26, 2025 Accepting new patients
Sterling B Mutz MD Inc Julio Taleisnik MD Inc Et Al Hand PastSince Apr 8, 2014 Accepting new patients
Kimberly J Evans Otr L CHT Professional Corporation Occupational Therapist PastSince Mar 21, 2021 Accepting new patients

Locations

332 Santa Fe Dr
Ste 110
Encinitas, CA 92024
Phone (760) 632-4266

332 Santa Fe Dr
Ste 120
Encinitas, CA 92024
Phone (760) 942-4400

2650 Truxtun Rd
Ste 202
San Diego, CA 92106

8996 Miramar Rd
Ste 315
San Diego, CA 92126
Phone (619) 818-6873

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Organizations & group practices 7

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.

NPI Registry JSON

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

{
    "created_epoch": "1379894400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1615852800000",
    "number": "1841626702",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1600 N BROADWAY SUITE 860",
            "city": "SANTA ANA",
            "state": "CA",
            "postal_code": "92706",
            "telephone_number": "714-831-5599",
            "fax_number": "714-783-3318"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1600 N BROADWAY SUITE 860",
            "city": "SANTA ANA",
            "state": "CA",
            "postal_code": "92706",
            "telephone_number": "714-831-5599",
            "fax_number": "714-783-3318"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BERARD-SHUMAN",
        "first_name": "NANCY",
        "credential": "OTR/L, CHT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-09-23",
        "last_updated": "2021-03-16",
        "certification_date": "2021-03-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "CA",
            "license": "3701",
            "primary": true
        },
        {
            "code": "225XH1200X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Hand",
            "state": null,
            "license": "201605068",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Santa Ana, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 16, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.