Individual provider Active NPI

Mauro Walsh Zappaterra, MD, PHD

  • Physical Medicine & Rehabilitation Physician
  • Pasadena, CA
National Provider Identifier
1013233576
Registry record updated Jun 26, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X
License
A118673 Issued in CA
Practice address
1035 S Fair Oaks Ave Ste 103
Institute for Regenerative Medicine & Clinical Research
Pasadena, CA 91105-2699
Phone
(626) 799-2562
NPI assigned
Apr 8, 2010
Sex
Male
Sole proprietor
Yes

Organizations & group practices 7

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Care Compare profile

Medicare Care Compare
Specialty
Physical Medicine and RehabilitationAlso: Pain Management
Education
Harvard Medical School, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Algos Inc a Medical Corporation 24 clinicians

Practice addresses (Care Compare)

1017 S Fair Oaks Ave
Pasadena, CA 91105-2621
Phone (626) 403-6200

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA, AZ, FL3 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
I20140813000454 CA Practitioner - Physical Medicine and RehabilitationPractitioner - Pain Management 1759508880 Reassigns benefits to 1 organization
I20200803002200 AZ Practitioner - Physical Medicine and Rehabilitation 1759508880
I20260422003128 FL Practitioner - Physical Medicine and Rehabilitation 1759508880 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine, Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
A118673CAMDPhysical Medicine & Rehabilitation Physician

Practice roles (5 of 14)

OrganizationSpecialtyStatusNew patients
Algos Inc., a Medical Corporation CurrentSince Jul 1, 2014 Accepting new patients
Algos Inc., a Medical Corporation Physical Medicine & Rehabilitation CurrentSince Jul 1, 2014 Accepting new patients
Algos Inc., a Medical Corporation Physical Medicine & Rehabilitation Past Accepting new patients
Synovation Medical Group, LLC Past Accepting new patients
Algos Inc., a Medical Corporation Past Accepting new patients

Locations

830 S Citrus Ave
Azusa, CA 91702
Phone (626) 339-6514

830 S Citrus Ave
Ste 201
Azusa, CA 91702
Phone (626) 974-1441

13193 Central Ave
Ste 220
Chino, CA 91710
Phone (909) 591-0843

891 Kuhn Dr
Ste 106
Chula Vista, CA 91914
Phone (619) 761-5308

1400 S Grand Ave
Ste 707
Los Angeles, CA 90015
Phone (213) 839-1119

1035 S Fair Oaks Ave
Ste 103
Pasadena, CA 91105
Phone (626) 269-9277

1017 S Fair Oaks Ave
Pasadena, CA 91105
Phone (626) 403-6200

567 W Putnam Ave
Ste 2
Porterville, CA 93257
Phone (559) 334-6737

69780 Stellar Dr
Ste A
Rancho Mirage, CA 92270
Phone (760) 424-3380

2650 Jones Way
Ste 8
Simi Valley, CA 93065
Phone (805) 577-7977

367 N 2nd Ave
Upland, CA 91786

Networks

  • devoted network organization-14bfd35d-d818-4696-813b-340339e464ef
  • devoted network organization-25ba88d3-d0a6-4213-84f1-eef6f2b59f68
  • AL HMO
  • FL HMO D-SNP
  • BSC 65 PLUS INDIVIDUAL MAPD
  • FL HMO
  • devoted network organization-d5084670-562f-408b-b100-22a1a4ef4d82
  • AL HMO D-SNP
  • FL HMO C-SNP

Interoperability endpoints

  • Direct secure messaging: maurozappaterra@smgroup.allscriptsdirect.net

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Physical Medicine & Rehabilitation Physician 208100000X A118673 CA Primary

Addresses

NPPES NPI Registry

Primary practice location

1035 S Fair Oaks Ave Ste 103
Institute for Regenerative Medicine & Clinical Research
Pasadena, CA 91105-2699

Mailing address

1035 S Fair Oaks Ave Ste 103
Institute for Regenerative Medicine & Clinical Research
Pasadena, CA 91105-2699
Phone (626) 799-2562

Other practice location 1

1744 E Boston St Ste 101
Gilbert, AZ 85295-6237
Phone (480) 632-0057

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jun 26, 2020.

{
    "created_epoch": "1270684800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1593129600000",
    "number": "1013233576",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1035 S FAIR OAKS AVE STE 103",
            "address_2": "INSTITUTE FOR REGENERATIVE MEDICINE & CLINICAL RESEARCH",
            "city": "PASADENA",
            "state": "CA",
            "postal_code": "911052699",
            "telephone_number": "626-799-2562"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1035 S FAIR OAKS AVE STE 103",
            "address_2": "INSTITUTE FOR REGENERATIVE MEDICINE & CLINICAL RESEARCH",
            "city": "PASADENA",
            "state": "CA",
            "postal_code": "911052699",
            "telephone_number": "626-799-2562"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1744 E Boston St Ste 101",
            "address_purpose": "LOCATION",
            "city": "Gilbert",
            "state": "AZ",
            "postal_code": "852956237",
            "country_code": "US",
            "telephone_number": "480-632-0057",
            "fax_number": "480-632-1237",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ZAPPATERRA",
        "first_name": "MAURO",
        "middle_name": "WALSH",
        "credential": "MD, PHD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2010-04-08",
        "last_updated": "2020-06-26",
        "certification_date": "2020-06-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "CA",
            "license": "A118673",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pasadena, CA

Sources for this page

Verify at the official NPI Registry.