Jamie Subandhi

Primary specialty

Physical TherapistTaxonomy code 225100000X

Practice address

2275 S Main St Ste 102
Corona, CA 92882-5303

Phone

(951) 273-7742

NPI assigned

Aug 17, 2021

Sex

Female

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

Medicare enrollment (NPD)

Enrolled

Practice roles

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.

• California Luna Care Physical Therapy PC

  • Physical Therapist
  • Los Gatos, CA
  • NPI 1689162166
  Medicare reassignment
• Bodybasics Physical Therapy, Inc.

  • Physical Therapy Clinic/Center
  • Corona, CA
  • NPI 1194904243
  NPD (past)

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

{
    "created_epoch": "1629158400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1629158400000",
    "number": "1124794508",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14862 COLLETTA PL",
            "city": "WESTMINSTER",
            "state": "CA",
            "postal_code": "926835509",
            "telephone_number": "714-230-5105"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2275 S MAIN ST STE 102",
            "city": "CORONA",
            "state": "CA",
            "postal_code": "928825303",
            "telephone_number": "951-273-7742"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3178 Hamner Ave # 4",
            "address_purpose": "LOCATION",
            "city": "Norco",
            "state": "CA",
            "postal_code": "928601936",
            "country_code": "US",
            "telephone_number": "951-736-5646",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SUBANDHI",
        "first_name": "JAMIE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-08-17",
        "last_updated": "2021-08-17",
        "certification_date": "2021-08-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jeannene Stroud
• Luke Alan Stuard
• Student Jibe
• Kathryn Stull Whitaker, MFT
• Delia Dolores Suarez-Bell, M.S., IMFT
• Succor Psychiatry & Wellness
• David Yongsuk Suh, M.D.
• Joseph Suh, OMD
• William Myoungwon Suh, MD
• Daniel A Suhr, PA-C

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 17, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.