Individual provider Active NPI

Puja Gohel

  • Neurorehabilitation Occupational Therapist
  • Emeryville, CA
National Provider Identifier
1972193431
Registry record updated Jan 19, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurorehabilitation Occupational TherapistTaxonomy code 225XN1300X
Practice address
2200 Powell St Ste 120
Emeryville, CA 94608-1832
Phone
(510) 318-8600
NPI assigned
Jan 19, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 19, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neurorehabilitation Occupational Therapist 225XN1300X Primary

Addresses

Primary practice location

2200 Powell St Ste 120
Emeryville, CA 94608-1832

Mailing address

2200 Powell St Ste 120
Emeryville, CA 94608-1832
Phone (818) 667-0328

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20241115002880 IL Practitioner - Occupational Therapist in Private Practice 4688108475 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Paxxon Healthcare Services LLC CurrentSince Nov 5, 2024 Accepting new patients
Paxxon Healthcare Services LLC CurrentSince Nov 5, 2024 Accepting new patients
Kandu Medical Services West PC CurrentSince Feb 9, 2025 Accepting new patients
Centre for Neuro Skills-SF PastSince Jan 24, 2021 Accepting new patients

Locations

210 E Hacienda Ave
Campbell, CA 95008
Phone (408) 874-1823

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": "1611014400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1611014400000",
    "number": "1972193431",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2200 POWELL ST STE 120",
            "city": "EMERYVILLE",
            "state": "CA",
            "postal_code": "946081832",
            "telephone_number": "818-667-0328"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2200 POWELL ST STE 120",
            "city": "EMERYVILLE",
            "state": "CA",
            "postal_code": "946081832",
            "telephone_number": "510-318-8600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOHEL",
        "first_name": "PUJA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-01-19",
        "last_updated": "2021-01-19",
        "certification_date": "2021-01-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225XN1300X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Neurorehabilitation",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Emeryville, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 19, 2021; 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.