Angelika Faith Pel Agahan, PT
Individual provider Active NPI Physical Therapist · Jackson, CA
NPI 1003550583 · NPPES record last updated Mar 19, 2026
Key facts
- NPI
- 1003550583
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Therapist 225100000X
- License
- 301977 (CA)
- Practice address
- 12150 Industry Blvd Ste 42
Jackson, CA 95642-9375 - Phone
- (530) 223-9410
- NPI assigned
- Apr 21, 2022
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 4
Medicare Care Compare profile
- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2018
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- California Luna Care Physical Therapy PC
Practice addresses (Care Compare)
16185 Los Gatos Blvd
Suite 205
Los Gatos, CA 95032-4569
Phone (866) 525-3175
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in CA
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20220610000479 | CA | Practitioner - Physical Therapist in Private Practice | 8820476401 | Reassigns benefits to 3 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| MDRS Spine & Sport, Inc | Physical Therapist | Current |
Accepting new patients |
| Fitzpatrick Physical Therapy Inc. | Physical Therapist | Current |
Accepting new patients |
| MDRS Spine & Sport, Inc | Physical Therapist | Current |
Accepting new patients |
Locations
450 Rosewood Ave
Ste 105
Camarillo, CA 93010
Phone (805) 389-4781
1020 Tierra del Rey
Ste A1
Chula Vista, CA 91910
Phone (619) 585-7104
14150 Culver Dr
Ste 103
Irvine, CA 92604
Phone (949) 262-9142
12150 Industry Blvd
Ste 42
Jackson, CA 95642
Phone (209) 223-9410
2240 E Plaza Blvd
Ste Be
National City, CA 91950
Phone (619) 474-5916
1252 Broadway
Ste B
Placerville, CA 95667
Phone (530) 622-9410
1252 Broadway
Placerville, CA 95667
Phone (318) 680-8208
9852 Business Park Dr
Ste A
Sacramento, CA 95827
Phone (916) 362-7962
1801 Cleveland Ave
Ste B
Santa Rosa, CA 95401
Phone (707) 526-4180
5850 Canoga Ave
Ste 120
Woodland Hills, CA 91367
Phone (747) 255-4089
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 301977 | CA | Yes |
Addresses
Primary practice location
12150 Industry Blvd Ste 42
Jackson, CA 95642-9375
Mailing address
1252 Broadway
Placerville, CA 95667-5822
Phone (530) 223-9410
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Other URL | Clinicient |
Other providers in Jackson, CA
All providers in Jackson, CA · Physical Therapist in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 19, 2026. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.