Individual provider Active NPI

Randall Gary Bauer, R.P.T.

  • Physical Therapist
  • Laguna Hills, CA
National Provider Identifier
1114068152
Registry record updated Feb 27, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT 14376 Issued in CA
Practice address
27071 Cabot Rd
#101
Laguna Hills, CA 92653-7024
Phone
(949) 588-7278
Fax
(949) 588-7331
NPI assigned
Feb 11, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 27, 2012

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 PT 14376 CA Primary

Addresses

Primary practice location

27071 Cabot Rd
#101
Laguna Hills, CA 92653-7024

Mailing address

27071 Cabot Rd
#101
Laguna Hills, CA 92653-7024
Phone (949) 588-7278

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080307000579 CA Practitioner - Physical Therapist in Private Practice 8820173347 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 1983
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
RPM Rehab IncGroup PAC ID 0244313187, 19 clinicians

Practice addresses (Care Compare)

27071 Cabot Rd
Suite 101
Laguna Hills, CA 92653-7025
Phone (949) 588-7278

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PT 14376CAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
RPM Rehab, Inc. Physical Therapist CurrentSince Mar 16, 2018 Accepting new patients
RPM Rehab, Inc Physical Therapist CurrentSince Mar 16, 2018 Accepting new patients
RPM Rehab, Inc. Physical Therapist Current Accepting new patients
RPM Rehab Inc Physical Therapist Past Accepting new patients
RPM Rebah, Inc Physical Therapist Past Accepting new patients
RPM Rehab Inc Past Accepting new patients
RPM Rehab, Inc. Physical Therapist Past Accepting new patients

Locations

18375 US Highway 18
Ste 6
Apple Valley, CA 92307
Phone (760) 242-3963

27071 Cabot Rd
Ste 101
Laguna Hills, CA 92653
Phone (949) 588-7278

1758 N Main St
Salinas, CA 93906
Phone (831) 442-3700

3500 5th Ave
Ste 206
San Diego, CA 92103
Phone (619) 299-9481

330 Franklin Rd
Ste 102
Brentwood, TN 37027
Phone (760) 256-2800

Organizations & group practices 7

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": "1171152000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1330300800000",
    "number": "1114068152",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "27071 CABOT RD",
            "address_2": "#101",
            "city": "LAGUNA HILLS",
            "state": "CA",
            "postal_code": "926537024",
            "telephone_number": "949-588-7278",
            "fax_number": "949-588-7331"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "27071 CABOT RD",
            "address_2": "#101",
            "city": "LAGUNA HILLS",
            "state": "CA",
            "postal_code": "926537024",
            "telephone_number": "949-588-7278",
            "fax_number": "949-588-7331"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BAUER",
        "first_name": "RANDALL",
        "middle_name": "GARY",
        "name_prefix": "Mr.",
        "credential": "R.P.T.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-02-11",
        "last_updated": "2012-02-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "PT 14376",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Laguna Hills, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 27, 2012; 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.