Individual provider Active NPI

Christopher N La Rosa, PT

  • Physical Therapist
  • San Diego, CA
National Provider Identifier
1043238520
Registry record updated Apr 2, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PG20767 Issued in CA
Practice address
4520 Executive Drive
Suite 101
San Diego, CA 92121
Phone
(858) 535-1075
Fax
(858) 453-9810
NPI assigned
Jul 17, 2006
Last updated
Apr 2, 2015By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 2, 2015

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X PG20767 CA Primary
Orthopedic Physical Therapist 2251X0800X PG20767 CA

Addresses

Primary practice location

4520 Executive Drive
Suite 101
San Diego, CA 92121

Mailing address

9850 Genesee Avenue
Suite 210
La Jolla, CA 92037
Phone (858) 535-1075

Other identifiers 1

IdentifierTypeStateIssuer
WPT207670OtherPPIN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040205000815 CA Practitioner - Physical Therapist in Private Practice 7618860362 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 1994
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

12865 Pointe del Mar Way
Suite 200
Del Mar, CA 92014-3860
Phone 85853510751144

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PG20767CAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Scripps Health Current Accepting new patients
Torrey Pines Orthopaedic Medical Group Inc Physical Therapist CurrentSince Aug 1, 2004 Accepting new patients
Levas Physical & Occupational Therapy Physical Therapist Past Accepting new patients
Torrey Pines Orthopaedic Medical Group Inc Physical Therapist Past Accepting new patients

Locations

12865 Pointe del Mar Way
Ste 200
Del Mar, CA 92014
Phone (858) 535-1075

9850 Genesee Ave
Ste 210
La Jolla, CA 92037
Phone (858) 535-1075

4520 Executive Dr
Ste 101
San Diego, CA 92121
Phone (858) 535-1075

Interoperability endpoints

  • Direct secure messaging: clarosa81637@scrippshlth.medalliesdirect.net

Organizations & group practices 4

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

NPI Registry JSON

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

{
    "created_epoch": "1153094400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1427932800000",
    "number": "1043238520",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9850 GENESEE AVENUE",
            "address_2": "SUITE 210",
            "city": "LA JOLLA",
            "state": "CA",
            "postal_code": "92037",
            "telephone_number": "858-535-1075",
            "fax_number": "858-453-9810"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4520 EXECUTIVE DRIVE",
            "address_2": "SUITE 101",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "92121",
            "telephone_number": "858-535-1075",
            "fax_number": "858-453-9810"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LA ROSA",
        "first_name": "CHRISTOPHER",
        "middle_name": "N",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-17",
        "last_updated": "2015-04-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "PG20767",
            "primary": true
        },
        {
            "code": "2251X0800X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Orthopedic",
            "state": "CA",
            "license": "PG20767",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PPIN",
            "identifier": "WPT207670",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in San Diego, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 2, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.