Individual provider Active NPI

Johnathan Loquasto, PT

  • Physical Therapist
  • Costa Mesa, CA
National Provider Identifier
1043332414
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT29443 Issued in CA
Practice address
3303 Harbor Blvd Ste F5
Costa Mesa, CA 92626-1521
Phone
(714) 540-6792
Fax
(714) 540-6794
NPI assigned
Apr 4, 2007
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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 PT29443 CA Primary

Addresses

Primary practice location

3303 Harbor Blvd Ste F5
Costa Mesa, CA 92626-1521

Mailing address

3303 Harbor Blvd Ste F5
Costa Mesa, CA 92626-1521
Phone (714) 540-6792

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

LicenseStateTypeSpecialty
PT29443CAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Adamou Chiropractic Past Accepting new patients
Rice Chiropractic Professional Corp Past Accepting new patients

Organizations & group practices 2

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": "1175644800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1043332414",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3303 HARBOR BLVD STE F5",
            "city": "COSTA MESA",
            "state": "CA",
            "postal_code": "926261521",
            "telephone_number": "714-540-6792",
            "fax_number": "714-540-6794"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3303 HARBOR BLVD STE F5",
            "city": "COSTA MESA",
            "state": "CA",
            "postal_code": "926261521",
            "telephone_number": "714-540-6792",
            "fax_number": "714-540-6794"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LOQUASTO",
        "first_name": "JOHNATHAN",
        "name_prefix": "Mr.",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-04-04",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "PT29443",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Costa Mesa, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.