Michael Nobles, PT , DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

305880 Issued in CA

Practice address

12395 El Camino Real Ste 111
San Diego, CA 92130-3083

Phone

(858) 488-3597

NPI assigned

Apr 8, 2024

Sex

Male

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

Specialty

Physical Therapist in Private Practice

Education

Other, 2023

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Golden Bear Physical Therapy Sports Injury Center IncGroup PAC ID 2961423082, 85 clinicians

El Dorado Physical Therapy IncGroup PAC ID 8325181480, 18 clinicians

Practice addresses (Care Compare)

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.

• Golden Bear Physical Therapy Sports Injury Center, Inc

  • Physical Therapy Clinic/Center
  • Modesto, CA
  • NPI 1811084676

  Physical Therapist

  Medicare reassignment Care Compare group NPD
• El Dorado Physical Therapy, Inc

  • Physical Therapy Clinic/Center
  • El Dorado Hills, CA
  • NPI 1033446448
  Medicare reassignment Care Compare group
• Water and Sports Physical Therapy, Inc

  • Physical Therapist
  • San Diego, CA
  • NPI 1699840934
  Medicare reassignment NPD
• Park Medical Pharmacy

  dba Medical Center Pharmacy

  • Pharmacist
  • Chula Vista, CA
  • NPI 1508970849
  NPD (past)
• Water and Sports Physical Therapy

  • Physical Medicine & Rehabilitation Physician
  • San Diego, CA
  • NPI 1588085625
  NPD (past)

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

{
    "created_epoch": "1712534400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1712534400000",
    "number": "1073366233",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1275 FAITHFUL WAY",
            "city": "SAN JACINTO",
            "state": "CA",
            "postal_code": "925834426",
            "telephone_number": "951-587-1564"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12395 EL CAMINO REAL STE 111",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921303083",
            "telephone_number": "858-488-3597"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NOBLES",
        "first_name": "MICHAEL",
        "name_prefix": "Dr.",
        "credential": "PT , DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2024-04-08",
        "last_updated": "2024-04-08",
        "certification_date": "2024-04-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "305880",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jordan Ray Noble, DNP, APRN, AGACNP-BC
• Mark Noble, DPT
• Melody Noble
• Rebecca Lynn Noble
• Mary Singuay Nobles, MFTI
• Dylan Allen Noblett, MD
• Montserrat Noboa
• Ana Barongan Noceda, N.P.
• Martha Ivonne Nochez, LVN
• Allison Nocita, MT-BC

• Physical Therapist in San Diego, CA
• Providers in San Diego, CA by specialty
• Physical Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 8, 2024; 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.