Individual provider Active NPI

Alex Chujo, P.T.

  • Physical Therapist
  • Palm Desert, CA
National Provider Identifier
1033407192
Registry record updated Jul 12, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
38035 Issued in CA
Practice address
73221 Highway 111
Ste a
Palm Desert, CA 92260-3907
Phone
(760) 773-2179
Fax
(760) 773-2810
NPI assigned
Jul 11, 2011
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 12, 2011

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 38035 CA Primary

Addresses

Primary practice location

73221 Highway 111
Ste a
Palm Desert, CA 92260-3907

Mailing address

79180 Nuevo Dr
La Quinta, CA 92253-5907

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

LicenseStateTypeSpecialty
38035CAMDOral and Maxillofacial Surgery (Dentist)

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1310342400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1310428800000",
    "number": "1033407192",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "79180 NUEVO DR",
            "city": "LA QUINTA",
            "state": "CA",
            "postal_code": "922535907"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "73221 HIGHWAY 111",
            "address_2": "STE A",
            "city": "PALM DESERT",
            "state": "CA",
            "postal_code": "922603907",
            "telephone_number": "760-773-2179",
            "fax_number": "760-773-2810"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHUJO",
        "first_name": "ALEX",
        "credential": "P.T.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-07-11",
        "last_updated": "2011-07-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "38035",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Palm Desert, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 12, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.