Individual provider Active NPI

Srbouhi Huacuja, DPT

  • Physical Therapist
  • Chino Hills, CA
National Provider Identifier
1093585416
Registry record updated Jun 24, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
305380 Issued in CA
Practice address
15944 Los Serranos Country Club Dr Ste 250
Chino Hills, CA 91709-3992
Phone
(909) 907-0805
NPI assigned
Jan 5, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 24, 2025

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 305380 CA Primary

Addresses

Primary practice location

15944 Los Serranos Country Club Dr Ste 250
Chino Hills, CA 91709-3992

Mailing address

15944 Los Serranos Country Club Dr Ste 250
Chino Hills, CA 91709-3992
Phone (909) 907-0805

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240222003277 CA Practitioner - Physical Therapist in Private Practice 8426492943 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
California Luna Care Physical Therapy PCGroup PAC ID 9638427834, 769 clinicians
Empower Physical Therapy and Wellness, IncGroup PAC ID 6002112018, 9 clinicians

Practice addresses (Care Compare)

16185 Los Gatos Blvd
Suite 205
Los Gatos, CA 95032-4569
Phone (866) 525-3175

5632 Philadelphia St
Suite 102
Chino, CA 91710-2411
Phone (909) 925-0015

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
305380CAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Empower Physical Therapy and Wellness, Inc Physical Therapist CurrentSince Jan 10, 2024 Accepting new patients
California Luna Care Physical Therapy PC Physical Therapist CurrentSince Jan 23, 2026 Accepting new patients

Locations

5632 Philadelphia St
Ste 102
Chino, CA 91710
Phone (909) 925-0015

15944 Los Serranos Country Club Dr
Ste 250
Chino Hills, CA 91709
Phone (909) 907-0805

16185 Los Gatos Blvd
Ste 205
Los Gatos, CA 95032
Phone (408) 459-8108

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1704412800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1750723200000",
    "number": "1093585416",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15944 LOS SERRANOS COUNTRY CLUB DR STE 250",
            "city": "CHINO HILLS",
            "state": "CA",
            "postal_code": "917093992",
            "telephone_number": "909-907-0805"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15944 LOS SERRANOS COUNTRY CLUB DR STE 250",
            "city": "CHINO HILLS",
            "state": "CA",
            "postal_code": "917093992",
            "telephone_number": "909-907-0805"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HUACUJA",
        "first_name": "SRBOUHI",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-01-05",
        "last_updated": "2025-06-24",
        "certification_date": "2025-06-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "305380",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chino Hills, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 24, 2025; 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.