Aldrich Patimbo Sitanggang

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

293468 Issued in CA

Practice address

1676 E 6TH St Ste C
Beaumont, CA 92223-5760

Phone

(951) 769-0300

NPI assigned

Sep 7, 2017

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

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2017

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Adorador Enterprises IncGroup PAC ID 4183651276, 7 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

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.

• Adorador Enterprises Inc

  • Physical Therapy Clinic/Center
  • Beaumont, CA
  • NPI 1861402950
  Medicare reassignment Care Compare group

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

{
    "created_epoch": "1504742400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1504742400000",
    "number": "1124546320",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "26461 MAPLE AVE",
            "city": "LOMA LINDA",
            "state": "CA",
            "postal_code": "923546709"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1676 E 6TH ST STE C",
            "city": "BEAUMONT",
            "state": "CA",
            "postal_code": "922235760",
            "telephone_number": "951-769-0300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SITANGGANG",
        "first_name": "ALDRICH",
        "middle_name": "PATIMBO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-09-07",
        "last_updated": "2017-09-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "293468",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Gianpiero Siciliano Di Rende
• Eleanor Silva
• Jazzmine D Simpson
• Luisa Singh
• Priska Siregar
• Sleepmed of California Inc
• Sleepmed Therapies Inc
• Piper Arnswald Slone
• Christopher Smart, LCSW
• Savanna Lynne Smith, M.S., CCC-SLP

• Physical Therapist in Beaumont, CA
• Providers in Beaumont, CA by specialty
• Physical Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 7, 2017; 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.