Active NPI
Serwyna Delos Santos Aquino, PT
- Physical Therapist
- Temecula, CA
National Provider Identifier
1104051846
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT 35666
- Practice address
- 28780 Single Oak Dr
Suite 290
Temecula, CA 92590-3625 - Phone
- (951) 693-5871
- Fax
- (951) 693-5872
- NPI assigned
- May 26, 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 Therapist | 225100000X | PT 35666 | CA | Primary |
Addresses
Primary practice location
28780 Single Oak Dr
Suite 290
Temecula, CA 92590-3625
Mailing address
24630 Washington Ave
Suite 200
Murrieta, CA 92562-6177
Phone (951) 696-9353
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0249754 | Other | CA | WA STATE DEPT OF LABOR |
| 0PT356660 | Other | CA | BLUE SHIELD |
Other names 1
- Maria Serwyna Delos Santos Aquino
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 35666 | CA | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Rancho Physical Therapy, Inc. | Physical Therapist | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Physical Therapist
- Temecula, CA
- NPI 1679541320
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1243296000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1251936000000",
"number": "1104051846",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "24630 WASHINGTON AVE",
"address_2": "SUITE 200",
"city": "MURRIETA",
"state": "CA",
"postal_code": "925626177",
"telephone_number": "951-696-9353",
"fax_number": "951-973-7216"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "28780 SINGLE OAK DR",
"address_2": "SUITE 290",
"city": "TEMECULA",
"state": "CA",
"postal_code": "925903625",
"telephone_number": "951-693-5871",
"fax_number": "951-693-5872"
}
],
"practiceLocations": [],
"basic": {
"last_name": "AQUINO",
"first_name": "SERWYNA",
"middle_name": "DELOS SANTOS",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2009-05-26",
"last_updated": "2009-09-03",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "CA",
"license": "PT 35666",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "WA STATE DEPT OF LABOR",
"identifier": "0249754",
"state": "CA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE SHIELD",
"identifier": "0PT356660",
"state": "CA"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "MARIA SERWYNA",
"last_name": "AQUINO",
"middle_name": "DELOS SANTOS",
"credential": "PT",
"code": "5",
"type": "Other Name"
}
]
}Other providers in Temecula, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 3, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.