Individual provider Active NPI

Tung Xuan Ha, COTA

  • Occupational Therapy Assistant
  • Encinitas, CA
National Provider Identifier
1922873082
Registry record updated Nov 20, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational Therapy AssistantTaxonomy code 224Z00000X
License
6129 Issued in CA
Practice address
900 Santa Fe Dr
Encinitas, CA 92024-3919
Phone
(760) 753-6423
NPI assigned
Nov 20, 2023
Last updated
Nov 20, 2023By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 20, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapy Assistant 224Z00000X 6129 CA Primary

Addresses

Primary practice location

900 Santa Fe Dr
Encinitas, CA 92024-3919

Mailing address

900 Santa Fe Dr
Encinitas, CA 92024-3919
Phone (760) 753-6423

Other practice location 1

12245 Carmel Vista Rd Unit 189
San Diego, CA 92130-2532
Phone (858) 585-1450

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

NPI Registry JSON

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

{
    "created_epoch": "1700438400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1700438400000",
    "number": "1922873082",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "900 SANTA FE DR",
            "city": "ENCINITAS",
            "state": "CA",
            "postal_code": "920243919",
            "telephone_number": "760-753-6423"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "900 SANTA FE DR",
            "city": "ENCINITAS",
            "state": "CA",
            "postal_code": "920243919",
            "telephone_number": "760-753-6423"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "12245 Carmel Vista Rd Unit 189",
            "address_purpose": "LOCATION",
            "city": "San Diego",
            "state": "CA",
            "postal_code": "921302532",
            "country_code": "US",
            "telephone_number": "858-585-1450",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HA",
        "first_name": "TUNG",
        "middle_name": "XUAN",
        "credential": "COTA",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2023-11-20",
        "last_updated": "2023-11-20",
        "certification_date": "2023-11-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "224Z00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapy Assistant",
            "state": "CA",
            "license": "6129",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Encinitas, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 20, 2023; 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.