Active NPI
Brandon Cirbo
- Orthopedic Physical Therapist
- Laguna Beach, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthopedic Physical Therapist
- License
- 295167
- Practice address
- 31852 Coast Hwy Ste 303
Laguna Beach, CA 92651-6766 - Phone
- (949) 499-9559
- NPI assigned
- Aug 10, 2018
- 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 |
|---|---|---|---|---|
| Orthopedic Physical Therapist | 2251X0800X | 295167 | CA | Primary |
Addresses
Primary practice location
31852 Coast Hwy Ste 303
Laguna Beach, CA 92651-6766
Mailing address
28188 Moulton Pkwy Apt 321
Laguna Niguel, CA 92677-7508
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2018
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1441 Avocado Ave
Suite 307
Newport Beach, CA 92660-7704
Phone (949) 640-2121
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 295167 | CA | MD | Orthopedic Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Laguna Beach Rehab, Inc. | Orthopedic | Current | Accepting new patients |
| Laguna Beach Rehab Inc | Current | Accepting new patients |
Locations
31852 Coast Hwy
Ste 303
Laguna Beach, CA 92651
Phone (949) 499-3085
1441 Avocado Ave
Ste 307
Newport Beach, CA 92660
Phone (858) 247-2933
Organizations & group practices 2
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.
-
dba Corona del Mar Rehab, Inc
- Clinic/Center
- Newport Beach, CA
- NPI 1164466785
Orthopedic
-
- Clinic/Center
- Laguna Beach, CA
- NPI 1578514832
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1533859200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1533859200000",
"number": "1154800050",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "28188 MOULTON PKWY APT 321",
"city": "LAGUNA NIGUEL",
"state": "CA",
"postal_code": "926777508"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "31852 COAST HWY STE 303",
"city": "LAGUNA BEACH",
"state": "CA",
"postal_code": "926516766",
"telephone_number": "949-499-9559"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CIRBO",
"first_name": "BRANDON",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2018-08-10",
"last_updated": "2018-08-10",
"status": "A"
},
"taxonomies": [
{
"code": "2251X0800X",
"taxonomy_group": "",
"desc": "Physical Therapist, Orthopedic",
"state": "CA",
"license": "295167",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Laguna Beach, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 10, 2018; 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.