Active NPI
Marlene Magistrado, MOT, OTR/L
- Occupational Therapist
- Orange, CA
National Provider Identifier
1992044739
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 21949
- Practice address
- 393 S Tustin St
Orange, CA 92866-2501 - Phone
- (714) 289-2400
- NPI assigned
- Feb 13, 2013
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapy Assistant | 224Z00000X | 2153 | CA | |
| Occupational Therapist | 225X00000X | 21949 | CA | Primary |
Addresses
Primary practice location
393 S Tustin St
Orange, CA 92866-2501
Mailing address
1544 Carolyn CT
Redlands, CA 92374-4738
Phone (909) 731-9595
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2153 | CA | MD | Occupational Therapy Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1360713600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1610496000000",
"number": "1992044739",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1544 CAROLYN CT",
"city": "REDLANDS",
"state": "CA",
"postal_code": "923744738",
"telephone_number": "909-731-9595"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "393 S TUSTIN ST",
"city": "ORANGE",
"state": "CA",
"postal_code": "928662501",
"telephone_number": "714-289-2400"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MAGISTRADO",
"first_name": "MARLENE",
"credential": "MOT, OTR/L",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2013-02-13",
"last_updated": "2021-01-13",
"certification_date": "2021-01-13",
"status": "A"
},
"taxonomies": [
{
"code": "224Z00000X",
"taxonomy_group": "",
"desc": "Occupational Therapy Assistant",
"state": "CA",
"license": "2153",
"primary": false
},
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "CA",
"license": "21949",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Orange, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 13, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.