MRS. GERALDINE PANCHO (NPI# 1114316981) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1114316981 |
| Entity Type | Individual |
| Full Name | MRS. GERALDINE PANCHO |
| Practice Address |
11352 Bluebird Way Corona CA 92883-3171 |
| Practice Telephone | 9512566688 |
| Mailing Telephone | 9512566688 |
| Enumeration Date | 2015-01-17 |
| Last Update Date | 2015-01-17 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225X00000X | Occupational Therapist | 8348 | CA | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
11352 BLUEBIRD WAY |
| City | CORONA |
| State | CA |
| Zip Code | 92883-3171 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710496815 | Onyinye Yvonne Johnson | Nurse Practitioner | 27223 Lasso Way, Corona, CA 92883 | 2017-09-21 |
| 1215376850 | Jennifer Carol Bard | Speech-Language Pathologist | 4194 Floyd Drive, Corona, CA 92883 | 2013-06-17 |
| 1023359619 | Richard Joon Kim | Pharmacist | 4315 Driving Range Rd, Corona, CA 92883 | 2013-03-07 |
| 1740590330 | Kim-thoa Thi Vu | Pharmacist | 2243 Eagle Glen Parkway, Corona, CA 92883 | 2010-10-15 |
| 1114232154 | Always 'tfy' Hospice, Inc. | Hospice Care, Community Based | 9064 Pulsar Court, Ste E, Corona, CA 92883 | 2010-08-14 |
| 1952553844 | Garfield Beach Cvs LLC | Durable Medical Equipment & Medical Supplies | 11950 Depalma Rd, Corona, CA 92883 | 2008-10-22 |
| 1497979280 | Sang C Paik Dds | Dentist | 3811 Bedford Canyon Rd, Suite 105, Corona, CA 92883 | 2007-04-12 |
| 1285615864 | Mallory Leon | Family Medicine | 25085 Pacific Crest Street, Corona, CA 92883 | 2005-11-09 |
| 1326038993 | Chan Woo Lee | Optometrist | 2790 Cabot Drive, Suite 135, Corona, CA 92883 | 2005-10-25 |
| 1659575736 | Optique Optometry, A Professional Corporation | Optometrist | 2790 Cabot Drive, Suite 135, Corona, CA 92883 | 2007-06-13 |
| Find all providers in zip 92883 | ||||
| Taxonomy Code | 225X00000X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Occupational Therapist |
| An occupational therapist is a person who has graduated from an entry-level occupational therapy program accredited by the Accreditation Council for Occupational Therapy Education (ACOTE) or predecessor organizations, or approved by the World Federation of Occupational Therapists (WFOT), or an equivalent international occupational therapy education program; has successfully completed a period of supervised fieldwork experience required by the occupational therapy program; has passed a nationally recognized entry-level examination for occupational therapists, and fulfills state requirements for licensure, certification, or registration. An occupational therapist provides interventions based on evaluation and which emphasize the therapeutic use of everyday life activities (i.e., occupations) with individuals or groups for the purpose of facilitating participation in roles and situations and in home, school, workplace, community and other settings. Occupational therapy services are provided for the purpose of promoting health and wellness and are provided to those who have or are at risk for developing an illness, injury, disease, disorder, condition, impairment, disability, activity limitation, or participation restriction. Occupational therapists address the physical, cognitive, psychosocial, sensory, and other aspects of occupational performance in a variety of contexts to support engagement in everyday life activities that affect health, well-being, and quality of life. |
| Notes: Source: The Guide to Occupational Therapy Practice, 2nd edition. Bethesda: American Occupational Therapy Association, 2007. [7/1/2008: definition changed, added source] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225640592 | Adrianna Martin | Occupational Therapist | 990 Miraflores Dr, Corona, CA 92882-6354 | 2020-08-18 |
| 1114544194 | Thuy Ngoc Phan | Occupational Therapist | 2615 Presidio Ln, Corona, CA 92879-7899 | 2020-06-25 |
| 1609497619 | Klever Moises Vasquez Alvarado | Occupational Therapist | 11112 42nd Ave, Corona, NY 11368-2620 | 2020-04-30 |
| 1528554029 | Altadena Rehab LLC | Occupational Therapist | 2070 Cedar Glen Dr, Corona, CA 92879-7839 | 2018-07-08 |
| 1437667128 | Razanoor Rahaman | Occupational Therapist | 9942 41st Ave Apt 4c, Corona, NY 11368-2270 | 2018-01-16 |
| 1760871768 | Eva Osburn | Occupational Therapist | 13718 Northfork Dr, Corona, CA 92880-4017 | 2015-01-13 |
| 1447689831 | Roxanne Rodriguez Wright | Occupational Therapist | 930 Horatio Ave, Corona, CA 92882-6158 | 2013-11-06 |
| 1467728055 | Cheryl Tannenbaum | Occupational Therapist | 10701 Otis Ave, Corona, NY 11368-3915 | 2012-03-28 |
| 1134405574 | Cynthia J. Gresham | Occupational Therapist | 3537 102nd St, Corona, NY 11368-1958 | 2011-10-31 |
| 1740576099 | Renee Denise Faulkner | Occupational Therapist | 14345 Saline Dr, Corona, CA 92880-3755 | 2011-06-24 |
| Find all providers in CORONA | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.