Active NPI
Jadee Quach, MS, OTR/L
- Mental Health Occupational Therapist
- Los Angeles, CA
National Provider Identifier
1891306510
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Occupational Therapist
- Practice address
- 4211 Avalon Blvd
Los Angeles, CA 90011-5622 - Phone
- (323) 233-0425
- NPI assigned
- Aug 14, 2020
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Hand Occupational Therapist | 225XH1200X | CA | ||
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| Mental Health Occupational Therapist | 225XM0800X | CA | Primary |
Addresses
Primary practice location
4211 Avalon Blvd
Los Angeles, CA 90011-5622
Mailing address
4211 Avalon Blvd
Los Angeles, CA 90011-5622
Other practice location 1
1700 Adams Ave
Costa Mesa, CA 92626-4865
Phone (714) 556-2288
Other practice location 2
2650 E Foothill Blvd
Pasadena, CA 91107-3439
Phone (626) 557-2261 ext. 2545
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
- Credentials
- Master of Science
Interoperability endpoints
- jadee.quach.p29@direct.newportmed.nextgenshare.com
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1597363200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1736726400000",
"number": "1891306510",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4211 AVALON BLVD",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900115622"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4211 AVALON BLVD",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900115622",
"telephone_number": "323-233-0425"
}
],
"practiceLocations": [
{
"address_1": "1700 Adams Ave",
"address_purpose": "LOCATION",
"city": "Costa Mesa",
"state": "CA",
"postal_code": "926264865",
"country_code": "US",
"telephone_number": "714-556-2288",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "2650 E Foothill Blvd",
"address_purpose": "LOCATION",
"city": "Pasadena",
"state": "CA",
"postal_code": "911073439",
"country_code": "US",
"telephone_number": "626-557-2261 x2545",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "QUACH",
"first_name": "JADEE",
"credential": "MS, OTR/L",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-08-14",
"last_updated": "2025-01-13",
"certification_date": "2025-01-13",
"status": "A"
},
"taxonomies": [
{
"code": "225XH1200X",
"taxonomy_group": "",
"desc": "Occupational Therapist, Hand",
"state": "CA",
"license": null,
"primary": false
},
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
},
{
"code": "225XM0800X",
"taxonomy_group": "",
"desc": "Occupational Therapist, Mental Health",
"state": "CA",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Los Angeles, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 13, 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.