Active NPI
Sunny Kim
- Occupational Therapist
- Los Alamitos, CA
National Provider Identifier
1871178111
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 26844
- Practice address
- 4772 Katella Ave Ste 100
Los Alamitos, CA 90720-2681 - Phone
- (562) 430-8700
- NPI assigned
- Mar 17, 2021
- Last updated
- Jan 3, 2025
- Sex
- Female
- Sole proprietor
- No
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 | 26844 | CA | Primary |
| Behavior Technician | 106S00000X | NU |
Addresses
Primary practice location
4772 Katella Ave Ste 100
Los Alamitos, CA 90720-2681
Mailing address
13509 3/4 Village Dr
Cerritos, CA 90703-2359
Phone (562) 714-2419
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 26844 | CA | MD | Occupational Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Shattuck Rehabilitation Services | Occupational Therapist | Current | Accepting new patients |
| Hands on Hands Rehabilitation Center, Inc | Current | Accepting new patients |
Locations
4772 Katella Ave
Ste 100
Los Alamitos, CA 90720
Phone (562) 430-8700
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Hand Occupational Therapist
- Costa Mesa, CA
- NPI 1821183070
-
dba Healing Hands Therapy & Wellness Center
- Hand Occupational Therapist
- Los Alamitos, CA
- NPI 1245361591
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1615939200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1735862400000",
"number": "1871178111",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "13509 3/4 VILLAGE DR",
"city": "CERRITOS",
"state": "CA",
"postal_code": "907032359",
"telephone_number": "562-714-2419"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4772 KATELLA AVE STE 100",
"city": "LOS ALAMITOS",
"state": "CA",
"postal_code": "907202681",
"telephone_number": "562-430-8700"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KIM",
"first_name": "SUNNY",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-03-17",
"last_updated": "2025-01-03",
"certification_date": "2025-01-03",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "CA",
"license": "26844",
"primary": true
},
{
"code": "106S00000X",
"taxonomy_group": "",
"desc": "Behavior Technician",
"state": "NU",
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Los Alamitos, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 3, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.