New Age Enterprises
NPI 1417227554ActiveOrganization· Occupational Therapist· Downey, CA
Occupational Therapist in Downey, California, registered in NPPES in January 2012. The authorized official on file is Valerie M. Mendoza, REGIONAL MANAGER/HR, Regional Manager/Hr. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1417227554 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Jan 6, 2012 |
| Last updated in NPPES | Nov 16, 2020 |
| Certified by provider | Aug 27, 2020 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Occupational Therapist Primary | 225X00000X | OT 4566 | CA |
| Pediatrics, Developmental - Behavioral Pediatrics | 2080P0006X | — | — |
| Clinic/Center, Physical Therapy | 261QP2000X | OT 4566 | CA |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Clinic/Group Practice (CA) |
|---|
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