Active NPI
Roxane Marie Berenbeim, OTR/R, RN
- Occupational Therapist
- Anaheim, CA
National Provider Identifier
1992725154
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- OT7536
- Practice address
- 631 S Brookhurst St
#106
Anaheim, CA 92804-3510 - Phone
- (714) 490-7711
- NPI assigned
- Jul 20, 2006
- 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 | OT7536 | CA | Primary |
Addresses
Primary practice location
631 S Brookhurst St
#106
Anaheim, CA 92804-3510
Mailing address
20 Oak Canyon TRL
Coto de Caza, CA 92679-4915
Phone (949) 842-7562
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
- Credentials
- Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| OT7536 | CA | MD | Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153353600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1992725154",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "20 OAK CANYON TRL",
"city": "COTO DE CAZA",
"state": "CA",
"postal_code": "926794915",
"telephone_number": "949-842-7562"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "631 S BROOKHURST ST",
"address_2": "#106",
"city": "ANAHEIM",
"state": "CA",
"postal_code": "928043510",
"telephone_number": "714-490-7711"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BERENBEIM",
"first_name": "ROXANE",
"middle_name": "MARIE",
"name_prefix": "Ms.",
"credential": "OTR/R, RN",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-07-20",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "CA",
"license": "OT7536",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Anaheim, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.