Justin Virgino, RPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT41161 Issued in CA

Practice address

12501 Seal Beach Blvd
Ste 210
Seal Beach, CA 90740-2763

Phone

(562) 493-8800

Fax

(562) 493-2980

NPI assigned

Sep 23, 2014

Last updated

Dec 3, 2021By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1411430400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1638489600000",
    "number": "1114329901",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12501 SEAL BEACH BLVD",
            "address_2": "STE 210",
            "city": "SEAL BEACH",
            "state": "CA",
            "postal_code": "907402763",
            "telephone_number": "562-493-8800",
            "fax_number": "562-493-2980"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12501 SEAL BEACH BLVD",
            "address_2": "STE 210",
            "city": "SEAL BEACH",
            "state": "CA",
            "postal_code": "907402763",
            "telephone_number": "562-493-8800",
            "fax_number": "562-493-2980"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VIRGINO",
        "first_name": "JUSTIN",
        "credential": "RPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-09-23",
        "last_updated": "2021-12-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "PT41161",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "SOAP",
            "endpointTypeDescription": "SOAP URL",
            "endpoint": "https://careepicwest.kp.org:14430/Interconnect-prodcalgateway/wcf/epic.community.hie/xcpdrespondinggatewaysync.svc/scalceq",
            "affiliation": "Y",
            "endpointDescription": "Carequality",
            "affiliationName": "Southern California Permanente Medical Group",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "C-CDA",
            "address_1": "9333 Imperial Hwy",
            "city": "Downey",
            "state": "CA",
            "country_code": "US",
            "postal_code": "902422812",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Gilbert S Unatin, D.D.S.
• United Medical Imaging Healthcare, Inc. (United Medical Imaging of Seal Beach)
• Jeremy Velasquez, IDC
• David Andrew Vigil, D.C.
• Vip Health Express Physician Assistant Incorporated (Vip Health Express)
• Thoai Lan Vuong, PHARMACIST
• Mindy Wagner, OTR/L
• Elizabeth Caroline Walli, LMFT
• Patsy Delane Walter I
• Ignatia Teresa Wang, DPT

• Physical Therapist in Seal Beach, CA
• Providers in Seal Beach, CA by specialty
• Physical Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 3, 2021; 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.