Active NPI
Airel Garcia, PTA
- Physical Therapy Assistant
- Los Angeles, CA
National Provider Identifier
1093943847
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapy Assistant
- License
- AT8967
- Practice address
- 11677 San Vicente Blvd Ste 207
Los Angeles, CA 90049-5128 - Phone
- (310) 826-3110
- Fax
- (310) 826-5990
- NPI assigned
- Jun 30, 2009
- Sex
- Female
- 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 Therapy Assistant | 225200000X | AT8967 | CA | Primary |
Addresses
Primary practice location
11677 San Vicente Blvd Ste 207
Los Angeles, CA 90049-5128
Mailing address
11677 San Vicente Blvd Ste 207
Los Angeles, CA 90049-5128
Phone (310) 826-3110
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| AT8967 | Other | CA | PHYSICAL THERAPY ASSISTANT LICENCE |
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| AT8967 | CA | MD | Physical Therapy Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1246320000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1305244800000",
"number": "1093943847",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11677 SAN VICENTE BLVD STE 207",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900495128",
"telephone_number": "310-826-3110",
"fax_number": "310-826-5990"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11677 SAN VICENTE BLVD STE 207",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900495128",
"telephone_number": "310-826-3110",
"fax_number": "310-826-5990"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GARCIA",
"first_name": "AIREL",
"credential": "PTA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2009-06-30",
"last_updated": "2011-05-13",
"status": "A"
},
"taxonomies": [
{
"code": "225200000X",
"taxonomy_group": "",
"desc": "Physical Therapy Assistant",
"state": "CA",
"license": "AT8967",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PHYSICAL THERAPY ASSISTANT LICENCE",
"identifier": "AT8967",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Los Angeles, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 13, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.