Active NPI
Dave De Jesus, OTR/L
- Occupational Therapist
- National City, CA
National Provider Identifier
1841678265
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 13318
- Practice address
- 220 E 24TH St
National City, CA 91950-6705 - Phone
- (619) 474-6741
- NPI assigned
- May 18, 2015
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | 13318 | CA | Primary |
| Occupational Therapist | 225X00000X | 305507 |
Addresses
Primary practice location
220 E 24TH St
National City, CA 91950-6705
Mailing address
220 E 24TH St
National City, CA 91950-6705
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 305507 | Other | NATIONAL BOARD FOR CERTIFICATION IN OCCUPATIONAL THERAPY | |
| 13318 | Other | CA | CALIFORNIA BOARD OF OCCUPATIONAL THERAPY |
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1431907200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1699401600000",
"number": "1841678265",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "220 E 24TH ST",
"city": "NATIONAL CITY",
"state": "CA",
"postal_code": "919506705"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "220 E 24TH ST",
"city": "NATIONAL CITY",
"state": "CA",
"postal_code": "919506705",
"telephone_number": "619-474-6741"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DE JESUS",
"first_name": "DAVE",
"credential": "OTR/L",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2015-05-18",
"last_updated": "2023-11-08",
"certification_date": "2023-11-08",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "CA",
"license": "13318",
"primary": true
},
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": null,
"license": "305507",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NATIONAL BOARD FOR CERTIFICATION IN OCCUPATIONAL THERAPY",
"identifier": "305507",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CALIFORNIA BOARD OF OCCUPATIONAL THERAPY",
"identifier": "13318",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}Other providers in National City, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 8, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.