Active NPI
Brian A Pasco, PTA
- Physical Therapy Assistant
- Los Angeles, CA
National Provider Identifier
1154098630
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapy Assistant
- License
- 51377
- Practice address
- 6080 Center Dr.
6TH Floor Suite # 639
Los Angeles, CA 90045 - Phone
- (888) 859-0145
- NPI assigned
- Aug 24, 2021
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapy Assistant | 225200000X | 51377 | CA | Primary |
Addresses
Primary practice location
6080 Center Dr.
6TH Floor Suite # 639
Los Angeles, CA 90045
Mailing address
PO Box 1295
Venice, CA 90294-1295
Phone (888) 859-0145
Other practice location 1
1600 Main St Fl 2
Venice, CA 90291-3626
Phone (818) 203-6455
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1629763200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1701907200000",
"number": "1154098630",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1295",
"city": "VENICE",
"state": "CA",
"postal_code": "902941295",
"telephone_number": "888-859-0145"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6080 CENTER DR.",
"address_2": "6TH FLOOR SUITE # 639",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "90045",
"telephone_number": "888-859-0145"
}
],
"practiceLocations": [
{
"address_1": "1600 Main St Fl 2",
"address_purpose": "LOCATION",
"city": "Venice",
"state": "CA",
"postal_code": "902913626",
"country_code": "US",
"telephone_number": "818-203-6455",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "PASCO",
"first_name": "BRIAN",
"middle_name": "A",
"credential": "PTA",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2021-08-24",
"last_updated": "2023-12-07",
"certification_date": "2023-12-07",
"status": "A"
},
"taxonomies": [
{
"code": "225200000X",
"taxonomy_group": "",
"desc": "Physical Therapy Assistant",
"state": "CA",
"license": "51377",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Los Angeles, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 7, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.