Active NPI
Maricar Canseco, PT
- Physical Therapist
- National City, CA
National Provider Identifier
1013239839
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 33943
- Practice address
- 550 E 8TH St
Suite 14
National City, CA 91950-2354 - Phone
- (619) 474-3294
- Fax
- (619) 474-9304
- NPI assigned
- Feb 20, 2010
- Sex
- Female
- 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 | 33943 | CA | Primary |
Addresses
Primary practice location
550 E 8TH St
Suite 14
National City, CA 91950-2354
Mailing address
2483 Mackenzie Creek Rd
Chula Vista, CA 91914-3533
Phone (619) 271-3932
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 33943 | CA | MD | Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sunlife Physical Therapy and Rehabilitation Services Inc | Physical Therapist | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Physical Medicine & Rehabilitation Physician
- National City, CA
- NPI 1164686507
Physical Therapist
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1266624000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1266624000000",
"number": "1013239839",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2483 MACKENZIE CREEK RD",
"city": "CHULA VISTA",
"state": "CA",
"postal_code": "919143533",
"telephone_number": "619-271-3932",
"fax_number": "619-271-3932"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "550 E 8TH ST",
"address_2": "SUITE 14",
"city": "NATIONAL CITY",
"state": "CA",
"postal_code": "919502354",
"telephone_number": "619-474-3294",
"fax_number": "619-474-9304"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CANSECO",
"first_name": "MARICAR",
"name_prefix": "Mrs.",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2010-02-20",
"last_updated": "2010-02-20",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "CA",
"license": "33943",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in National City, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 20, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.