Individual provider Active NPI

John Delacruzportugal

  • Physical Therapist
  • Rancho Cucamonga, CA
National Provider Identifier
1144815689
Registry record updated Aug 14, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Practice address
9681 Business Center Dr Ste C
Rancho Cucamonga, CA 91730-4579
Phone
(909) 710-5752
Fax
(909) 363-8773
NPI assigned
Mar 6, 2021
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 14, 2023

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 Primary

Addresses

Primary practice location

9681 Business Center Dr Ste C
Rancho Cucamonga, CA 91730-4579

Mailing address

8873 Beacon Ave
Hesperia, CA 92344-0054

Other practice location 1

18145 US Highway 18 Ste C
Apple Valley, CA 92307-2210
Phone (909) 710-5752

Other practice location 2

1600 Main St Fl 2
Venice, CA 90291-3626
Phone (626) 483-8945

Other practice location 3

919 S Serenade Ave
West Covina, CA 91790-4244
Phone (626) 483-8945

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210419002705 CA Practitioner - Physical Therapist in Private Practice 9537577267 Reassigns benefits to 2 organizations
Practice locations: Rancho Cucamonga, CA

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2021
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)

18375 Hwy 18 6
Desert Phy Therapy
Apple Valley, CA 92307-2218
Phone (760) 242-3963

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
RPM Rehab, Inc. Physical Therapist CurrentSince Feb 21, 2025 Accepting new patients
RPM Rehab, Inc Physical Therapist CurrentSince Feb 21, 2025 Accepting new patients
RPM Rehab, Inc. Physical Therapist Current Accepting new patients
All Star Physical Therapy Physical Therapist CurrentSince Oct 13, 2024 Accepting new patients
Petrichor Physical Therapy a Professional Corporation Physical Therapy CurrentSince Jul 1, 2023 Accepting new patients
Oak Tree Orthopedics Inc Physical Therapy PastSince Apr 9, 2024 Accepting new patients
RPM Rebah, Inc Physical Therapist Past Accepting new patients
Elite Physical Therapy and Wellness, Inc. Physical Therapist PastSince Mar 7, 2021 Accepting new patients

Locations

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

16008 Kamana Rd
Ste 200
Apple Valley, CA 92307
Phone (760) 810-7767

24630 Washington Ave
Ste 201
Murrieta, CA 92562
Phone (951) 200-3620

450 W Palmdale Blvd
Palmdale, CA 93551
Phone (661) 273-5333

1338 Main St
Ramona, CA 92065
Phone (760) 789-1400

9681 Business Center Dr
Ste C
Rancho Cucamonga, CA 91730
Phone (909) 475-0475

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

29645 Rancho California Rd
Ste 234
Temecula, CA 92591
Phone (951) 506-3001

1650 Lyndon Farm Ct
Ste 300
Louisville, KY 40223
Phone (726) 202-3039

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

Organizations & group practices 8

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": "1614988800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1691971200000",
    "number": "1144815689",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8873 BEACON AVE",
            "city": "HESPERIA",
            "state": "CA",
            "postal_code": "923440054"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9681 BUSINESS CENTER DR STE C",
            "city": "RANCHO CUCAMONGA",
            "state": "CA",
            "postal_code": "917304579",
            "telephone_number": "909-710-5752",
            "fax_number": "909-363-8773"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "18145 US Highway 18 Ste C",
            "address_purpose": "LOCATION",
            "city": "Apple Valley",
            "state": "CA",
            "postal_code": "923072210",
            "country_code": "US",
            "telephone_number": "909-710-5752",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1600 Main St Fl 2",
            "address_purpose": "LOCATION",
            "city": "Venice",
            "state": "CA",
            "postal_code": "902913626",
            "country_code": "US",
            "telephone_number": "626-483-8945",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "919 S Serenade Ave",
            "address_purpose": "LOCATION",
            "city": "West Covina",
            "state": "CA",
            "postal_code": "917904244",
            "country_code": "US",
            "telephone_number": "626-483-8945",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DELACRUZPORTUGAL",
        "first_name": "JOHN",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2021-03-06",
        "last_updated": "2023-08-14",
        "certification_date": "2023-08-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rancho Cucamonga, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 14, 2023; 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.