Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

San Bernardino County Public Health

Organization Occupational Therapy Assistant · NPI 1255726113

San Bernardino County Public Health is an Occupational Therapy Assistant in Etiwanda, California. Registered with an NPI since 2015.

In the registry since
2015
Specialties on file
4

Practice location Address checks out

12860 Banyan St
Etiwanda, CA 91739-9466
Phone: (909) 463-3010
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pediatric Physical Therapist (primary) Taxonomy 2251P0200X
Occupational Therapy Assistant Taxonomy 224Z00000X
Physical Therapy Assistant Taxonomy 225200000X
Pediatric Occupational Therapist Taxonomy 225XP0200X

Record details

NPI number1255726113
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Maxwell Ohikhuare — Public Health Officer · (909) 387-6219
Other names Etiwanda Mtu
NPI enumeratedMarch 30, 2015
Last updated in NPPESNovember 20, 2024
Certification dateNovember 20, 2024
Mailing address451 E Vanderbilt Way, San Bernardino, CA 92408-3641