JERROD D PAULO OTR/L CHT NPI 1366413064

NPI Information

NPI: 1366413064
Provider Name: JERROD D PAULO, OTR/L, CHT
Classification: Occupational Therapist - 225XH1200X
Specialization: Hand
Entity Type: Individual
Address: 13690 E 14TH ST
SUITE 200
SAN LEANDRO, CA
ZIP 94578
Phone: (510) 895-5511

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NPI Details

Jerrod D Paulo, OTR/L, CHT is a hand occupational therapist in San Leandro, CA. Jerrod D Paulo, OTR/L, CHT NPI is 1366413064. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

13690 E 14TH ST
SUITE 200
SAN LEANDRO, CA
ZIP 94578-582
Phone: (510) 895-5511
Fax: (510) 895-5513

The enumeration date for this NPI number is 1/30/2006 and was last updated on 5/7/2008.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	225XH1200X	Occupational Therapist	Hand	OT 2258	CALIFORNIA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	Q26460	MEDICARE UPIN	CALIFORNIA
2	ZZZ04670Z	OTHER	CALIFORNIA	BLUESHIELD PROVIDER #
3	ZZZ31058Z	OTHER	CALIFORNIA	PROVIDER TRANSACTION ACCESS NUMBER

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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