Active NPI
Audrey A. Yonesato, M.A., OTR/L
- Occupational Therapist
- Irvine, CA
National Provider Identifier
1962812008
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 14108
- Practice address
- 204 Borrego
Irvine, CA 92618 - Phone
- (626) 622-5201
- NPI assigned
- Apr 29, 2014
- Sex
- Female
- Sole proprietor
- Yes
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 | 14108 | CA | Primary |
Addresses
Primary practice location
204 Borrego
Irvine, CA 92618
Mailing address
204 Borrego
Irvine, CA 92618-8883
Phone (626) 622-5201
Other practice location 1
1301 W. Providence Ave.
Orange, CA 92868
Phone (714) 639-4990
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)
- Enrolled
- Credentials
- Master of Arts
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1398729600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1527638400000",
"number": "1962812008",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "204 BORREGO",
"city": "IRVINE",
"state": "CA",
"postal_code": "926188883",
"telephone_number": "626-622-5201"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "204 BORREGO",
"city": "IRVINE",
"state": "CA",
"postal_code": "92618",
"telephone_number": "626-622-5201"
}
],
"practiceLocations": [
{
"address_1": "1301 W. Providence Ave.",
"address_purpose": "LOCATION",
"city": "Orange",
"state": "CA",
"postal_code": "92868",
"country_code": "US",
"telephone_number": "714-639-4990",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "YONESATO",
"first_name": "AUDREY",
"middle_name": "A.",
"name_prefix": "Mrs.",
"credential": "M.A., OTR/L",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2014-04-29",
"last_updated": "2018-05-30",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "CA",
"license": "14108",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Irvine, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 30, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.