Individual provider Active NPI

Brandon Cirbo

  • Orthopedic Physical Therapist
  • Laguna Beach, CA
National Provider Identifier
1154800050
Registry record updated Aug 10, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopedic Physical TherapistTaxonomy code 2251X0800X
License
295167 Issued in CA
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

Updated by the provider on Aug 10, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

Enrollment IDStateProvider typePAC IDDetails
I20181019001754 CA Practitioner - Physical Therapist in Private Practice 1254684319 Reassigns benefits to 1 organization

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
Laguna Beach Rehab IncGroup PAC ID 4688686538, 14 clinicians

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

LicenseStateTypeSpecialty
295167CAMDOrthopedic Physical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Laguna Beach Rehab, Inc. Orthopedic CurrentSince Aug 1, 2018 Accepting new patients
Laguna Beach Rehab Inc CurrentSince Aug 1, 2018 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.

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.

Verify at the official NPI Registry.