Active NPI
Adrian Bernard Baird, OTR
- Occupational Therapist
- Azusa, CA
National Provider Identifier
1992877039
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 2060
- Practice address
- 830 S Citrus Ave.
Suite 203
Azusa, CA 91702 - Phone
- (626) 339-6514
- NPI assigned
- Nov 14, 2006
- Last updated
- Jul 8, 2007
- Sex
- Male
- 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 | 2060 | CA | Primary |
Addresses
Primary practice location
830 S Citrus Ave.
Suite 203
Azusa, CA 91702
Mailing address
1636 Idlewood Rd
Glendale, CA 91202-1028
Phone (818) 240-4935
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1163462400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1992877039",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1636 IDLEWOOD RD",
"city": "GLENDALE",
"state": "CA",
"postal_code": "912021028",
"telephone_number": "818-240-4935",
"fax_number": "818-240-0794"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "830 S CITRUS AVE.",
"address_2": "SUITE 203",
"city": "AZUSA",
"state": "CA",
"postal_code": "91702",
"telephone_number": "626-339-6514"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BAIRD",
"first_name": "ADRIAN",
"middle_name": "BERNARD",
"name_prefix": "Mr.",
"credential": "OTR",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-11-14",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "CA",
"license": "2060",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Azusa, 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.