Individual provider Active NPI

Cesar Cruz Arada, MHS,OTR/L,SWC,PAM

  • Occupational Therapist
  • San Francisco, CA
National Provider Identifier
1922334234
Registry record updated Oct 20, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
OT 6758 Issued in CA
Practice address
178 Denslowe Dr
San Francisco, CA 94132-2035
Phone
(415) 333-9100
Fax
(415) 333-6231
NPI assigned
Oct 20, 2009
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 20, 2009

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

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X OT 6758 CA Primary
Feeding, Eating & Swallowing Occupational Therapist 225XF0002X OT 6758 CA
Gerontology Occupational Therapist 225XG0600X OT 6758 CA
Neurorehabilitation Occupational Therapist 225XN1300X OT 6758 CA
Physical Rehabilitation Occupational Therapist 225XP0019X OT 6758 CA

Addresses

Primary practice location

178 Denslowe Dr
San Francisco, CA 94132-2035

Mailing address

178 Denslowe Dr
San Francisco, CA 94132-2035
Phone (415) 333-9100

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100106000617 CA Practitioner - Occupational Therapist in Private Practice 7719028489 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
OT 6758CAMDPhysical Rehabilitation Occupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Impaq Rehab Specialist Past Accepting new patients
Impaq Home Health, Inc Past Accepting new patients
Impaq Rehabilitation Servicesan Past Accepting new patients

Organizations & group practices 4

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": "1255996800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1255996800000",
    "number": "1922334234",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "178 DENSLOWE DR",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941322035",
            "telephone_number": "415-333-9100",
            "fax_number": "415-333-6231"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "178 DENSLOWE DR",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941322035",
            "telephone_number": "415-333-9100",
            "fax_number": "415-333-6231"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ARADA",
        "first_name": "CESAR",
        "middle_name": "CRUZ",
        "name_prefix": "Mr.",
        "credential": "MHS,OTR/L,SWC,PAM",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2009-10-20",
        "last_updated": "2009-10-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "CA",
            "license": "OT 6758",
            "primary": true
        },
        {
            "code": "225XF0002X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Feeding, Eating & Swallowing",
            "state": "CA",
            "license": "OT 6758",
            "primary": false
        },
        {
            "code": "225XG0600X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Gerontology",
            "state": "CA",
            "license": "OT 6758",
            "primary": false
        },
        {
            "code": "225XN1300X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Neurorehabilitation",
            "state": "CA",
            "license": "OT 6758",
            "primary": false
        },
        {
            "code": "225XP0019X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Physical Rehabilitation",
            "state": "CA",
            "license": "OT 6758",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Francisco, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 20, 2009; 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.