Edna Entsuah

Primary specialty

Physical Rehabilitation Occupational TherapistTaxonomy code 225XP0019X

License

24854 Issued in CA

Practice address

1020 Tierra del Rey
Chula Vista, CA 91910-7886

Phone

(800) 976-7544

NPI assigned

Dec 31, 2024

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• MDRS Spine & Sport, Inc

  • Multi-Specialty Clinic/Center
  • San Diego, CA
  • NPI 1952394603
  Medicare reassignment NPD
• MDRS Spine & Sport, Inc

  • Physical Therapist
  • Temecula, CA
  • NPI 1689824203
  NPD

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

{
    "created_epoch": "1735603200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1735603200000",
    "number": "1063221562",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13370 CLEAR CANYON CT",
            "city": "EASTVALE",
            "state": "CA",
            "postal_code": "928803028",
            "telephone_number": "909-560-9544"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1020 TIERRA DEL REY",
            "city": "CHULA VISTA",
            "state": "CA",
            "postal_code": "919107886",
            "telephone_number": "800-976-7544"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ENTSUAH",
        "first_name": "EDNA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-12-31",
        "last_updated": "2024-12-31",
        "certification_date": "2024-12-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225XP0019X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Physical Rehabilitation",
            "state": "CA",
            "license": "24854",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Fernando Martin English-Quiros
• Sadie Quinn Enke
• Patricia Ann Ennis, RD
• Joana Paola Enriquez
• Julie Marie Enriquez
• Dawn Enzweiler, RPH
• Mark Erdrich, PHARMACIST
• Eric John R Eusebio DMD Inc
• Erick H. Alayo Medical Corporation
• Alyssa Erickson

• Physical Rehabilitation Occupational Therapist in Chula Vista, CA
• Providers in Chula Vista, CA by specialty
• Physical Rehabilitation Occupational Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 31, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.