Althea Mae Bontilao Bazar, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

304746 Issued in CA

Practice address

38121 25TH St E Apt I202
Palmdale, CA 93550-4977

Phone

(213) 374-6836

NPI assigned

Dec 20, 2023

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1703030400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1721260800000",
    "number": "1154199057",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "495 S SPALDING DR",
            "city": "BEVERLY HILLS",
            "state": "CA",
            "postal_code": "902124103",
            "telephone_number": "213-374-6836"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "38121 25TH ST E APT I202",
            "city": "PALMDALE",
            "state": "CA",
            "postal_code": "935504977",
            "telephone_number": "213-374-6836"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BAZAR",
        "first_name": "ALTHEA MAE",
        "middle_name": "BONTILAO",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-12-20",
        "last_updated": "2024-07-18",
        "certification_date": "2024-07-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "304746",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Melissa Bauer, PT, DPT
• Karlibeth Bautista
• Shaun Bautista
• Jessica Baxter
• Veronica Bayer
• Malena Giana Beard I, NONE
• Magdy Aziz Kerollos Bebawy, O.D
• Dennis Beglaryan, D.O.
• Alexis Abigail Begue, LMFT
• Candice Behm, PA-C

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 18, 2024; 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.