Individual provider Active NPI

Dominick Louda, DPT

  • Physical Therapist
  • San Diego, CA
National Provider Identifier
1114499340
Registry record updated Jun 15, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
295997 Issued in CA
Practice address
5353 Mission Center Rd
San Diego, CA 92108-1306
Phone
(619) 497-2836
NPI assigned
Dec 28, 2018
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 15, 2020

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 295997 CA Primary

Addresses

Primary practice location

5353 Mission Center Rd
San Diego, CA 92108-1306

Mailing address

1830 Market St Apt 19
San Diego, CA 92102-2851

Other practice location 1

7440 Ronson Rd
San Diego, CA 92111-1508
Phone (347) 840-3256

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

LicenseStateTypeSpecialty
295997CAMDRegistered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Barbell Physical Therapy PC Physical Therapist Current Accepting new patients
Health Point Physical Therapy Physical Therapist Past Accepting new patients

Organizations & group practices 2

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": "1545955200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1592179200000",
    "number": "1114499340",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1830 MARKET ST APT 19",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921022851"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5353 MISSION CENTER RD",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921081306",
            "telephone_number": "619-497-2836"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7440 Ronson Rd",
            "address_purpose": "LOCATION",
            "city": "San Diego",
            "state": "CA",
            "postal_code": "921111508",
            "country_code": "US",
            "telephone_number": "347-840-3256",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LOUDA",
        "first_name": "DOMINICK",
        "name_prefix": "Dr.",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-12-28",
        "last_updated": "2020-06-15",
        "certification_date": "2020-06-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "295997",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Diego, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 15, 2020; 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.