Individual provider Active NPI

Angela West, DPT

  • Physical Therapy Clinic/Center
  • Oakland, CA
National Provider Identifier
1154746121
Registry record updated Aug 2, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
License
41494 Issued in CA
Practice address
3718 Grand Ave Ste 15
Oakland, CA 94610-1544
Phone
(510) 893-8878
NPI assigned
Feb 27, 2014
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 2, 2019

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 2305208539 VA
Physical Therapy Clinic/Center 261QP2000X 41494 CA Primary

Addresses

Primary practice location

3718 Grand Ave Ste 15
Oakland, CA 94610-1544

Mailing address

19301 Center St
Castro Valley, CA 94546-3620
Phone (510) 329-4846

Other practice location 1

18642 E Cavendish Dr
Castro Valley, CA 94552-1719
Phone (510) 329-4846

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address angela@taylorthornburgpt.com

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20180301002460 CA Practitioner - Physical Therapist in Private Practice 0648531962 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
California Luna Care Physical Therapy PCGroup PAC ID 9638427834, 769 clinicians
California Sports Physical Therapy Centers IncGroup PAC ID 7618956889, 37 clinicians

Practice addresses (Care Compare)

16185 Los Gatos Blvd
Suite 205
Los Gatos, CA 95032-4569
Phone (866) 525-3175

20211 Patio Dr
Suite 205
Castro Valley, CA 94546-4338
Phone (510) 537-3991

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2305208539VAMDPhysical Therapist
41494CAMDPhysical Therapy Clinic/Center

Practice roles

OrganizationSpecialtyStatusNew patients
California Sports Physical Therapy Centers, Inc. Physical Therapist Current Accepting new patients
California Luna Care Physical Therapy PC Physical Therapist CurrentSince Jul 28, 2023 Accepting new patients
California Sports Physical Therapy Centers, Inc. Physical Therapist CurrentSince Jan 6, 2020 Accepting new patients

Locations

2035 Corte del Nogal
Ste 200
Carlsbad, CA 92011
Phone (760) 931-8310

16185 Los Gatos Blvd
Ste 205
Los Gatos, CA 95032
Phone (408) 459-8108

Organizations & group practices 3

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": "1393459200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1564704000000",
    "number": "1154746121",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19301 CENTER ST",
            "city": "CASTRO VALLEY",
            "state": "CA",
            "postal_code": "945463620",
            "telephone_number": "510-329-4846"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3718 GRAND AVE STE 15",
            "city": "OAKLAND",
            "state": "CA",
            "postal_code": "946101544",
            "telephone_number": "510-893-8878"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "18642 E Cavendish Dr",
            "address_purpose": "LOCATION",
            "city": "Castro Valley",
            "state": "CA",
            "postal_code": "945521719",
            "country_code": "US",
            "telephone_number": "510-329-4846",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WEST",
        "first_name": "ANGELA",
        "credential": "DPT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-02-27",
        "last_updated": "2019-08-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "VA",
            "license": "2305208539",
            "primary": false
        },
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "CA",
            "license": "41494",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "angela@taylorthornburgpt.com",
            "affiliation": "N",
            "address_1": "3718 Grand Ave Ste 15",
            "city": "Oakland",
            "state": "CA",
            "country_code": "US",
            "postal_code": "946101544",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Oakland, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 2, 2019; 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.