LAURA REBECCA PENDERGAST (NPI# 1750813077) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1750813077 |
| Entity Type | Individual |
| Full Name | LAURA REBECCA PENDERGAST |
| Credential | OTR/L |
| Practice Address |
1809 National Ave San Diego CA 92113-2113 |
| Mailing Address |
823 Gateway Center Way San Diego CA 92102-4541 |
| Practice Telephone | 6195152300 |
| Enumeration Date | 2017-03-28 |
| Last Update Date | 2017-03-28 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225X00000X | Occupational Therapist | 17249 | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
1809 NATIONAL AVE |
| City | SAN DIEGO |
| State | CA |
| Zip Code | 92113-2113 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184697559 | Said Raqib Sana | Emergency Medicine | 1809 National Ave, San Diego, CA 92113-2113 | 2006-02-08 |
| 1679191423 | Pamela Santana Castillo | Nutritionist | 1809 National Ave, San Diego, CA 92113-2113 | 2020-07-08 |
| 1750909792 | Melissa Favela-ayala | Nutritionist | 1809 National Ave, San Diego, CA 92113-2113 | 2020-07-07 |
| 1306474812 | Lorena Amparo Oropeza Oregel | Nutritionist | 1809 National Ave, San Diego, CA 92113-2113 | 2020-03-30 |
| 1568097707 | Margaux Bianca Mariano | Occupational Therapist | 1809 National Ave, San Diego, CA 92113-2113 | 2020-03-09 |
| 1528698057 | Anya Katzina Mancillas | Speech-Language Pathologist | 1809 National Ave, San Diego, CA 92113-2113 | 2020-01-23 |
| 1316584931 | Vanessa Nungaray Ruvalcaba | Nutritionist | 1809 National Ave, San Diego, CA 92113-2113 | 2019-12-02 |
| 1760028666 | Zakirah Hasan | Dietitian, Registered | 1809 National Ave, San Diego, CA 92113-2113 | 2019-11-26 |
| 1699311241 | Carla Sahian Rangel | Nutritionist | 1809 National Ave, San Diego, CA 92113-2113 | 2019-11-19 |
| 1497398077 | Georgina Parra | Dietitian, Registered | 1809 National Ave, San Diego, CA 92113-2113 | 2019-10-25 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609305986 | Cynthia Alba | Nutritionist | 1809 National Ave., San Diego, CA 92113 | 2017-06-08 |
| 1184153983 | Jessy Milligan | Counselor | 4125 Alpha Street, San Diego, CA 92113 | 2017-06-06 |
| 1730557406 | Deborah Mary Malloy | Counselor | Jary Barreto, 2865 Logan Avenue, San Diego, CA 92113 | 2015-09-10 |
| 1104220912 | Imhotep Mustaqeem | Counselor | 3336 Steel Street, San Diego, CA 92113 | 2014-10-22 |
| 1831507300 | Olga Vasileva | Student in an Organized Health Care Education/Training Program | 2865 Logan Avenue, San Diego, CA 92113 | 2014-07-29 |
| 1477961951 | Angelica Quezada | Counselor | 32510 Newton Avenue B103, San Diego, CA 92113 | 2014-07-28 |
| 1477986750 | Anita Pena | Licensed Vocational Nurse | 604 Olivewood Ter, San Diego, CA 92113 | 2013-08-09 |
| 1134459399 | Susana Cabada | Technician, Other | 4031 Marine View Ave., San Diego, CA 92113 | 2010-01-11 |
| 1669595609 | Maria Emilia Siller | Registered Nurse | 3177a Oceanview Blvd, San Diego, AL 92113 | 2007-04-06 |
| 1710009691 | Maria Engracia Siordia | Licensed Vocational Nurse | 3177a Ocean View Blvd, San Diego, CA 92113 | 2007-04-04 |
| Find all providers in zip 92113 | ||||
| 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 |
|---|---|---|---|---|
| 1043826670 | Katrina Hagewood | Occupational Therapist | 12220 World Trade Dr Ste 130, San Diego, CA 92128-3900 | 2020-09-18 |
| 1750906889 | Caitlin Grace Turner | Occupational Therapist | 4672 Mount Putman Ct, San Diego, CA 92117-4751 | 2020-06-15 |
| 1205450715 | Rudo Oronde Adams | Occupational Therapist | 7017 Osler St, San Diego, CA 92111-5536 | 2020-05-31 |
| 1720607963 | Allison Brekke | Occupational Therapist | 438 W Date St Apt 1, San Diego, CA 92101-2528 | 2020-04-08 |
| 1326671025 | Jessica Welch | Occupational Therapist | 6262 Ferris Sq, San Diego, CA 92121-3205 | 2020-02-20 |
| 1275164030 | Katherine Manansala Macapinlac | Occupational Therapist | 10961 San Blas Cir, San Diego, CA 92126-2447 | 2020-01-30 |
| 1851921142 | Carly Ono | Occupational Therapist | 10760 Thornmint Rd Ste 132, San Diego, CA 92127-2700 | 2020-01-25 |
| 1124658729 | Kimberly Dyanne Gaudi | Occupational Therapist | 4421 47th St, San Diego, CA 92115-4516 | 2020-01-22 |
| 1861022816 | Priscilla Marina | Occupational Therapist | 12519 El Camino Real Unit G, San Diego, CA 92130-4027 | 2020-01-17 |
| 1699312702 | Katelyn Yeaman | Occupational Therapist | 4452 Highland Ave Apt 5, San Diego, CA 92115-4345 | 2019-12-08 |
| Find all providers in SAN DIEGO | ||||
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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.