NPIMap

Organization Active NPI

P and a Health Services

  • Physical Therapy Clinic/Center
  • Victorville, CA
National Provider Identifier
1104041144
Registry record updated Feb 20, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
License
W18200A Issued in CA
Legal business name
P AND A HEALTH SERVICES
Practice address
14566 Seventh Street
Victorville, CA 92392
Phone
(760) 843-0895
Fax
(760) 843-0894
NPI assigned
Apr 16, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 20, 2008

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Alberto Avi Marciano
Title
President
Phone
(949) 770-6022

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Clinic/Center 261QP2000X W18200A CA Primary

Addresses

Primary practice location

14566 Seventh Street
Victorville, CA 92392

Mailing address

24 Hammond
Unit C
Irvine, CA 92618
Phone (949) 770-6022

Other names 1

  • comprehensive physical therapy Other name

National Provider Directory

National Provider Directory

Locations

14566 Seventh St
Victorville, CA 92395
Phone (760) 843-0895

Practitioners & affiliated clinicians

Practitioners 22

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

View all 22

NPI Registry JSON

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

{
    "created_epoch": "1176681600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1203465600000",
    "number": "1104041144",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24 HAMMOND",
            "address_2": "UNIT C",
            "city": "IRVINE",
            "state": "CA",
            "postal_code": "92618",
            "telephone_number": "949-770-6022",
            "fax_number": "949-770-7084"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14566 SEVENTH STREET",
            "city": "VICTORVILLE",
            "state": "CA",
            "postal_code": "92392",
            "telephone_number": "760-843-0895",
            "fax_number": "760-843-0894"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "P AND A HEALTH SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-16",
        "last_updated": "2008-02-20",
        "status": "A",
        "authorized_official_last_name": "MARCIANO",
        "authorized_official_first_name": "ALBERTO",
        "authorized_official_middle_name": "AVI",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "949-770-6022"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "CA",
            "license": "W18200A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "comprehensive physical therapy",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Victorville, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 20, 2008; 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.