Individual provider Active NPI

Zoryana Stepanivna Ramos Gomez

  • Occupational Therapist
  • Corona, CA
National Provider Identifier
1851981542
Registry record updated Jan 26, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
17640 Issued in CA
Practice address
1400 Circle City Dr
Corona, CA 92879-1642
Phone
(850) 313-9371
NPI assigned
Jan 26, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 26, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X 17640 CA Primary

Addresses

Primary practice location

1400 Circle City Dr
Corona, CA 92879-1642

Mailing address

1400 Circle City Dr
Corona, CA 92879-1642
Phone (850) 313-9371

Other identifiers 1

IdentifierTypeStateIssuer
17640OtherCASTATE OF CALIFORNIA, DEPARTMENT OF CONSUMER AFFAIRS, OT BOARD

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230929000547 CA Practitioner - Occupational Therapist in Private Practice 9638523343 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
17640CAMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Interface Rehab, Inc. CurrentSince Mar 12, 2024 Accepting new patients
Interface Rehab, Inc. CurrentSince Jul 17, 2023 Accepting new patients

Locations

1400 Circle City Dr
Corona, CA 92879
Phone (909) 735-0252

2400 W Acacia Ave
Hemet, CA 92545
Phone (951) 492-2841

774 S Placentia Ave
Ste 200
Placentia, CA 92870
Phone (714) 646-8300

Organizations & group practices 2

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

NPI Registry JSON

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

{
    "created_epoch": "1611619200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1611619200000",
    "number": "1851981542",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1400 CIRCLE CITY DR",
            "city": "CORONA",
            "state": "CA",
            "postal_code": "928791642",
            "telephone_number": "850-313-9371"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1400 CIRCLE CITY DR",
            "city": "CORONA",
            "state": "CA",
            "postal_code": "928791642",
            "telephone_number": "850-313-9371"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RAMOS GOMEZ",
        "first_name": "ZORYANA",
        "middle_name": "STEPANIVNA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-01-26",
        "last_updated": "2021-01-26",
        "certification_date": "2021-01-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "CA",
            "license": "17640",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE OF CALIFORNIA, DEPARTMENT OF CONSUMER AFFAIRS, OT BOARD",
            "identifier": "17640",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Corona, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 26, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.