JACQUELYN A BRACEROS (NPI# 1225495344) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1225495344 |
| Entity Type | Individual |
| Full Name | JACQUELYN A BRACEROS |
| Practice Address |
1815 W 213th St Ste 100 Torrance CA 90501-2852 |
| Mailing Address |
22028 Callahan Pl Carson CA 90745-3534 |
| Practice Telephone | 3103280276 |
| Enumeration Date | 2016-01-20 |
| Last Update Date | 2017-03-10 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225X00000X | Occupational Therapist | 16936 | CA | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| N | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| Street Address |
1815 W 213TH ST STE 100 |
| City | TORRANCE |
| State | CA |
| Zip Code | 90501-2852 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013168962 | Noel Marie Spina | Physical Therapist | 1815 W 213th St Ste 100, Torrance, CA 90501-2852 | 2008-10-08 |
| 1134729932 | Creig Smith | Occupational Therapist | 1815 W 213th St Ste 100, Torrance, CA 90501-2852 | 2020-10-29 |
| 1871110064 | Breanna Cambare Espero | Occupational Therapist | 1815 W 213th St Ste 100, Torrance, CA 90501-2852 | 2020-07-03 |
| 1215554480 | Ashley Bonzell | Occupational Therapist | 1815 W 213th St Ste 100, Torrance, CA 90501-2852 | 2020-07-02 |
| 1699312207 | Jessica Rachel Trejo | Speech-Language Pathologist | 1815 W 213th St Ste 100, Torrance, CA 90501-2852 | 2019-12-02 |
| 1023659166 | Nicole Macwhirter | Occupational Therapist | 1815 W 213th St Ste 100, Torrance, CA 90501-2852 | 2019-09-30 |
| 1750939419 | Isabelle Rose Nastaskin | Speech-Language Pathologist | 1815 W 213th St Ste 100, Torrance, CA 90501-2852 | 2019-08-27 |
| 1417503863 | Brandi Macias | Specialist/Technologist | 1815 W 213th St Ste 100, Torrance, CA 90501-2852 | 2019-08-12 |
| 1356997936 | Elaine Mara Bauer | Speech-Language Pathologist | 1815 W 213th St Ste 100, Torrance, CA 90501-2852 | 2019-08-10 |
| 1033764196 | Leann Aiboshi | Speech-Language Pathologist | 1815 W 213th St Ste 100, Torrance, CA 90501-2852 | 2019-08-06 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700351145 | Brittany Ford | Behavior Technician | 701 Van Ness Way, Ste. 710, Sacrmamento, CA 90501 | 2018-10-12 |
| 1912417999 | Wellspring of Life Counseling Center, Inc. | Counselor | 2008 West Carson Street, Suite 105, Torrance, CA 90501 | 2017-10-04 |
| 1902325517 | Diane Elizabeth Rogers | Counselor | 20300 S. Vermont Ave, Suite 275, Torrance, CA 90501 | 2017-09-14 |
| 1124545397 | Daniel Benjamin | Social Worker | 1617 Cravens Ave., Torrance, CA 90501 | 2017-08-28 |
| 1194246819 | Rebecca Senter | Counselor | 1124 W. Carson St N33, Torrance, CA 90501 | 2017-07-03 |
| 1932638376 | Anderson Development Licensed Clinical Social Worker Inc | Social Worker | 21151 S Western Ave Ste 174, Torrance, CA 90501 | 2017-06-08 |
| 1548796626 | Green Meadow Homes, Inc. | Skilled Nursing Facility | 2460 W. 229th Street, Torrance, CA 90501 | 2017-05-10 |
| 1134679558 | Stacey Rose Garcia | Student in an Organized Health Care Education/Training Program | 1445 W 214th St, Torrance, CA 90501 | 2016-10-10 |
| 1700333002 | Veronica Mayela Martinez | Marriage & Family Therapist | 1523 W. 228th St Apt. A, Torrance, CA 90501 | 2016-09-02 |
| 1124453030 | Garfield Beach Cvs LLC | Durable Medical Equipment & Medical Supplies | 1303 W Sepulveda Blvd, Torrance, CA 90501 | 2013-09-10 |
| Find all providers in zip 90501 | ||||
| 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 |
|---|---|---|---|---|
| 1134727159 | Samantha Om | Occupational Therapist | 3210 Sepulveda Blvd, Torrance, CA 90505-2719 | 2020-10-12 |
| 1659990547 | Nadia Rashid | Occupational Therapist | 21858 S Vermont Ave Unit 1, Torrance, CA 90502-2114 | 2020-04-10 |
| 1407482193 | Cynthia Ulloa | Occupational Therapist | 17915 Crenshaw Blvd Apt 4, Torrance, CA 90504-4131 | 2020-03-13 |
| 1649732645 | Marydel Delgado Del Mar | Occupational Therapist | 16617 Faysmith Avenue, Torrance, CA 90504 | 2019-04-01 |
| 1295203065 | Bryan Louff | Occupational Therapist | 3617 W 181st St, Torrance, CA 90504-3918 | 2018-11-08 |
| 1619450673 | Johanna Ballesteros | Occupational Therapist | 1621 W 220th St, Torrance, CA 90501-3841 | 2018-09-14 |
| 1427551175 | Dana Numamoto | Occupational Therapist | 2108 Cambridge Way, Torrance, CA 90503-7379 | 2018-03-08 |
| 1114434453 | Shih-ya Wu | Occupational Therapist | 3655 Artesia Blvd Apt 118, Torrance, CA 90504-3360 | 2018-01-09 |
| 1609390277 | Rebecca Shyuan-jen Wang | Occupational Therapist | 1000 W Carson St # N31, Torrance, CA 90502-2004 | 2017-07-26 |
| 1295285724 | Kayla Anne La Rouche | Occupational Therapist | 5640 Michelle Dr, Torrance, CA 90503-1838 | 2016-10-07 |
| Find all providers in TORRANCE | ||||
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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.