Harshavardhan Deoghare, PT, PHD

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

41253 Issued in CA

Practice address

4782 Casa Loma Ave
Yorba Linda, CA 92886-3361

Phone

(352) 870-4390

NPI assigned

May 14, 2021

Sex

Male

Sole proprietor

Yes

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Philosophy

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

{
    "created_epoch": "1620950400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1620950400000",
    "number": "1073187019",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4782 CASA LOMA AVE",
            "city": "YORBA LINDA",
            "state": "CA",
            "postal_code": "928863361",
            "telephone_number": "352-870-4390"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4782 CASA LOMA AVE",
            "city": "YORBA LINDA",
            "state": "CA",
            "postal_code": "928863361",
            "telephone_number": "352-870-4390"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEOGHARE",
        "first_name": "HARSHAVARDHAN",
        "name_prefix": "Dr.",
        "credential": "PT, PHD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2021-05-14",
        "last_updated": "2021-05-14",
        "certification_date": "2021-05-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "41253",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Physical Therapist in Yorba Linda, CA
• Providers in Yorba Linda, CA by specialty
• Physical Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 14, 2021; 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.