Active NPI
Erwin C Galicinao, RPT
- Physical Therapist
- Lakewood, CA
National Provider Identifier
1083855381
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT 35376
- Practice address
- 5510 Clark Ave
Lakewood, CA 80712-1905 - Phone
- (562) 677-3700
- Fax
- (562) 677-3705
- NPI assigned
- Mar 16, 2009
- Last updated
- Oct 13, 2010
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | PT 35376 | CA | Primary |
Addresses
Primary practice location
5510 Clark Ave
Lakewood, CA 80712-1905
Mailing address
12572 Valley View
Garden Grove, CA 92845-2006
Phone (714) 823-4400
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PT 35376 | CA | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Nifty After Fifty | Physical Therapist | Past | Accepting new patients |
| Martha Cerda, Inc. | Physical Therapist | Past | Accepting new patients |
| Manchester Therapy Group | Physical Therapist | Past | Accepting new patients |
Interoperability endpoints
- erwin.galicinao.p1@direct.caremorewest.nextgenshare.com
Organizations & group practices 3
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.
-
- Physical Therapist
- Buena Park, CA
- NPI 1841431095
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1237161600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1286928000000",
"number": "1083855381",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12572 VALLEY VIEW",
"city": "GARDEN GROVE",
"state": "CA",
"postal_code": "928452006",
"telephone_number": "714-823-4400",
"fax_number": "714-823-4404"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5510 CLARK AVE",
"city": "LAKEWOOD",
"state": "CA",
"postal_code": "807121905",
"telephone_number": "562-677-3700",
"fax_number": "562-677-3705"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GALICINAO",
"first_name": "ERWIN",
"middle_name": "C",
"credential": "RPT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2009-03-16",
"last_updated": "2010-10-13",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "CA",
"license": "PT 35376",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Lakewood, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 13, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.