NA Eun Jeon, OTR/L

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

22170 Issued in CA

Practice address

2400 Parkside Dr
Fremont, CA 94536-5332

Phone

(310) 856-0800

Fax

(510) 793-7222

NPI assigned

Mar 8, 2018

Sex

Female

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Other names 1

• Esther Jeon Other name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1520467200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1618876800000",
    "number": "1841792546",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4519 MEYER PARK CIR",
            "city": "FREMONT",
            "state": "CA",
            "postal_code": "945366749",
            "telephone_number": "510-789-9430"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2400 PARKSIDE DR",
            "city": "FREMONT",
            "state": "CA",
            "postal_code": "945365332",
            "telephone_number": "310-856-0800",
            "fax_number": "510-793-7222"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JEON",
        "first_name": "NA EUN",
        "credential": "OTR/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-03-08",
        "last_updated": "2021-04-20",
        "certification_date": "2021-04-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "CA",
            "license": null,
            "primary": false
        },
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "CA",
            "license": "22170",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ESTHER",
            "last_name": "JEON",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Hanlon B. Jen, MD
• Connie Jenkins
• Jennifer Sun DDS Inc (Little Plum Pediatric Dentistry)
• Joanna Elizabeth Gonzalez Jensen
• Meagan Jensen
• Jinwoo Jeong, DMD
• Ryan W. Jergensen, DDS
• Jerry Yang DDS Inc.
• Diane Drumond Jesus
• Hee Kyung Jeung

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 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.