Active NPI
Chris Agluba
- Physical Therapist
- Palmdale, CA
National Provider Identifier
1104671155
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT305691
- Practice address
- 38600 Medical Center Dr
Palmdale, CA 93551-4483 - Phone
- (808) 223-4910
- NPI assigned
- Apr 23, 2024
- Last updated
- Apr 23, 2024
- 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 | PT305691 | CA | Primary |
Addresses
Primary practice location
38600 Medical Center Dr
Palmdale, CA 93551-4483
Mailing address
20220 Sorrento LN Apt 303
Porter Ranch, CA 91326-4474
Phone (808) 223-4910
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 |
|---|---|---|---|
| PT305691 | CA | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1713830400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1713830400000",
"number": "1104671155",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "20220 SORRENTO LN APT 303",
"city": "PORTER RANCH",
"state": "CA",
"postal_code": "913264474",
"telephone_number": "808-223-4910"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "38600 MEDICAL CENTER DR",
"city": "PALMDALE",
"state": "CA",
"postal_code": "935514483",
"telephone_number": "808-223-4910"
}
],
"practiceLocations": [],
"basic": {
"last_name": "AGLUBA",
"first_name": "CHRIS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2024-04-23",
"last_updated": "2024-04-23",
"certification_date": "2024-04-23",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "CA",
"license": "PT305691",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Palmdale, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 23, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.