Active NPI
Asa Cedric Mills, P.T.
- Physical Therapist
- Temecula, CA
National Provider Identifier
1003262528
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 39290
- Practice address
- 31309 Temecula Pkwy
Suite 101
Temecula, CA 92592-6826 - Phone
- (951) 302-5213
- NPI assigned
- May 13, 2016
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 39290 | CA | Primary |
Addresses
Primary practice location
31309 Temecula Pkwy
Suite 101
Temecula, CA 92592-6826
Mailing address
2061 Willow Glen Rd
Fallbrook, CA 92028-9713
Phone (786) 897-5401
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 39290 | Other | CA | CALIFORNIA PHYSICAL THERAPY BOARD |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 39290 | CA | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1463097600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1463097600000",
"number": "1003262528",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2061 WILLOW GLEN RD",
"city": "FALLBROOK",
"state": "CA",
"postal_code": "920289713",
"telephone_number": "786-897-5401"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "31309 TEMECULA PKWY",
"address_2": "SUITE 101",
"city": "TEMECULA",
"state": "CA",
"postal_code": "925926826",
"telephone_number": "951-302-5213"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MILLS",
"first_name": "ASA",
"middle_name": "CEDRIC",
"name_prefix": "Dr.",
"credential": "P.T.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2016-05-13",
"last_updated": "2016-05-13",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "CA",
"license": "39290",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CALIFORNIA PHYSICAL THERAPY BOARD",
"identifier": "39290",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Temecula, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 13, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.