Individual provider Active NPI

Jessica Rojas Ramirez, COTA

  • Occupational Therapy Assistant
  • Livermore, CA
National Provider Identifier
1962158485
Registry record updated Apr 10, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational Therapy AssistantTaxonomy code 224Z00000X
License
OTA4955 Issued in CA
Practice address
1372 Concannon Blvd
Livermore, CA 94550-6004
Phone
(925) 264-9353
NPI assigned
Feb 23, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 10, 2024

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 OTA4955 CA Primary

Addresses

Primary practice location

1372 Concannon Blvd
Livermore, CA 94550-6004

Mailing address

4808 W Canal Blvd
Tracy, CA 95304-9417
Phone (209) 640-4777

Other practice location 1

201 Sand Creek Rd Ste G4
Brentwood, CA 94513-2494
Phone (925) 529-4790

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

LicenseStateTypeSpecialty
OTA4955CAMDOccupational Therapy Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Celebrations Speech Group PastSince Feb 1, 2023 Accepting new patients

Organizations & group practices 1

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": "1645574400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1712707200000",
    "number": "1962158485",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4808 W CANAL BLVD",
            "city": "TRACY",
            "state": "CA",
            "postal_code": "953049417",
            "telephone_number": "209-640-4777"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1372 CONCANNON BLVD",
            "city": "LIVERMORE",
            "state": "CA",
            "postal_code": "945506004",
            "telephone_number": "925-264-9353"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "201 Sand Creek Rd Ste G4",
            "address_purpose": "LOCATION",
            "city": "Brentwood",
            "state": "CA",
            "postal_code": "945132494",
            "country_code": "US",
            "telephone_number": "925-529-4790",
            "fax_number": "925-401-9510",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ROJAS RAMIREZ",
        "first_name": "JESSICA",
        "credential": "COTA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-02-23",
        "last_updated": "2024-04-10",
        "certification_date": "2024-04-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "224Z00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapy Assistant",
            "state": "CA",
            "license": "OTA4955",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Livermore, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 10, 2024; 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.