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

Charisse Vinzelle Nacito Imatong

Individual provider Occupational Therapy Assistant · NPI 1598420143

Charisse Vinzelle Nacito Imatong is an Occupational Therapy Assistant in Santa Ana, California. Licensed in California. Registered with an NPI since 2021.

Licensed in
CA
In the registry since
2021

Practice location Address checks out

1209 Hemlock Way
Santa Ana, CA 92707-3609
Phone: (714) 546-1966
Show map & directions

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

Specialties & licences

Occupational Therapy Assistant (primary) Taxonomy 224Z00000X · Licence OTA4402 (CA)

Record details

NPI number1598420143
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedNovember 8, 2021
Last updated in NPPESNovember 8, 2021
Certification dateNovember 8, 2021

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