Active NPI
Angela West, DPT
- Physical Therapy Clinic/Center
- Oakland, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapy Clinic/Center
- License
- 41494
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | angela@taylorthornburgpt.com |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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 PCCalifornia Sports Physical Therapy Centers Inc
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
| License | State | Type | Specialty |
|---|---|---|---|
| 2305208539 | VA | MD | Physical Therapist |
| 41494 | CA | MD | Physical Therapy Clinic/Center |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| California Sports Physical Therapy Centers, Inc. | Physical Therapist | Current | Accepting new patients |
| California Luna Care Physical Therapy PC | Physical Therapist | Current | Accepting new patients |
| California Sports Physical Therapy Centers, Inc. | Physical Therapist | Current | 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.
-
- Physical Therapist
- Los Gatos, CA
- NPI 1689162166
CA, Physical Therapist
-
- Physical Therapist
- Monterey, CA
- NPI 1467436329
CA, Physical Therapist
-
- Physical Therapist
- Pittsburg, CA
- NPI 1124000682
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.