Active NPI
Jeanine F White
- Occupational Therapist
- Santa Clarita, CA
National Provider Identifier
1932472099
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 2260
- Practice address
- 24103 Del Monte Dr Unit 432
Santa Clarita, CA 91355-3843 - Phone
- (530) 701-7786
- NPI assigned
- Feb 20, 2012
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | 2260 | CA | Primary |
Addresses
Primary practice location
24103 Del Monte Dr Unit 432
Santa Clarita, CA 91355-3843
Mailing address
24103 Del Monte Dr Unit 432
Santa Clarita, CA 91355-3843
Phone (530) 701-7786
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2260 | Medicaid | CA |
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 |
|---|---|---|---|
| 2260 | CA | MD | Addiction (Substance Use Disorder) Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1329696000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1329696000000",
"number": "1932472099",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "24103 DEL MONTE DR UNIT 432",
"city": "SANTA CLARITA",
"state": "CA",
"postal_code": "913553843",
"telephone_number": "530-701-7786"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "24103 DEL MONTE DR UNIT 432",
"city": "SANTA CLARITA",
"state": "CA",
"postal_code": "913553843",
"telephone_number": "530-701-7786"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WHITE",
"first_name": "JEANINE",
"middle_name": "F",
"name_prefix": "Ms.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-02-20",
"last_updated": "2012-02-20",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "CA",
"license": "2260",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2260",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Santa Clarita, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 20, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.