Active NPI
Neethu Moosariparambil Joseph
- Physical Therapist
- Pleasanton, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 295897
- Practice address
- 4456 Black Ave Ste 150
Pleasanton, CA 94566-6112 - Phone
- (925) 967-6059
- NPI assigned
- Nov 15, 2018
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 295897 | CA | Primary |
Addresses
Primary practice location
4456 Black Ave Ste 150
Pleasanton, CA 94566-6112
Mailing address
6360 Stoneridge Mall Rd Apt 108
Pleasanton, CA 94588-8058
Phone (925) 967-6059
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| SOAP URL | https://careepicwest.kp.org:14430/Interconnect-prodcalgateway/wcf/epic.community.hie/xcpdrespondinggatewaysync.svc/ncalceq | Health Information Exchange (HIE) |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Pleasanton Physical Therapy Services, Inc. | Physical Therapist | Current | Accepting new patients |
| Permanente Medical Group Inc | Current | Accepting new patients | |
| Permanente Medical Group, Inc | Current | Accepting new patients | |
| Permanente Medical Group Inc | Current | Accepting new patients | |
| Pleasanton Physical Therapy Services, Inc. | Past | Accepting new patients |
Locations
4501 Sand Creek Rd
Antioch, CA 94531
Phone (925) 813-6420
750 Auburn Ravine Rd
Auburn, CA 95603
Phone (530) 823-6131
4753 W Shaw Ave
Ste 101
Fresno, CA 93722
Phone (559) 277-8738
900 N Douty St
Hanford, CA 93230
Phone (559) 587-9014
101 Monroe St
Petaluma, CA 94954
Phone (707) 763-4109
4456 Black Ave
Ste 150
Pleasanton, CA 94566
Phone (925) 426-6986
1150 Veterans Blvd
Redwood City, CA 94063
Phone (650) 299-2015
901 Nevin Ave
Richmond, CA 94801
Phone (510) 307-1500
930 W Main St
Ripon, CA 95366
Phone (209) 599-4221
501 J St
Sacramento, CA 95814
Phone (916) 497-3000
2200 Ofarrell St
San Francisco, CA 94115
Phone (415) 202-2000
710 Lawrence Expy
Santa Clara, CA 95051
Phone (408) 236-6400
5615 Scotts Valley Dr
Scotts Valley, CA 95066
Phone (831) 430-2700
7373 West Ln
Stockton, CA 95210
Phone (209) 476-2000
975 Sereno Dr
Vallejo, CA 94589
Phone (707) 651-1000
301 Lennon Ln
Ste 202
Walnut Creek, CA 94598
Phone (925) 934-6373
320 N Crawford St
Willows, CA 95988
Phone (530) 934-2834
Organizations & group practices 5
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.
-
- Internal Medicine Physician
- Santa Clara, CA
- NPI 1073606299
-
- Physical Therapist
- Pleasanton, CA
- NPI 1336295138
-
- Internal Medicine Physician
- Richmond, CA
- NPI 1235226531
-
- Clinical Medical Laboratory
- San Jose, CA
- NPI 1497971584
-
- Physical Therapy Clinic/Center
- Pleasanton, CA
- NPI 1285044693
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1542240000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1674432000000",
"number": "1154890481",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6360 STONERIDGE MALL RD APT 108",
"city": "PLEASANTON",
"state": "CA",
"postal_code": "945888058",
"telephone_number": "925-967-6059"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4456 BLACK AVE STE 150",
"city": "PLEASANTON",
"state": "CA",
"postal_code": "945666112",
"telephone_number": "925-967-6059"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MOOSARIPARAMBIL JOSEPH",
"first_name": "NEETHU",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-11-15",
"last_updated": "2023-01-23",
"certification_date": "2023-01-23",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "CA",
"license": "295897",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "SOAP",
"endpointTypeDescription": "SOAP URL",
"endpoint": "https://careepicwest.kp.org:14430/Interconnect-prodcalgateway/wcf/epic.community.hie/xcpdrespondinggatewaysync.svc/ncalceq",
"affiliation": "N",
"endpointDescription": "Carequality",
"use": "HIE",
"useDescription": "Health Information Exchange (HIE)",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "C-CDA",
"address_1": "4501 Sand Creek Rd",
"city": "Antioch",
"state": "CA",
"country_code": "US",
"postal_code": "945318687",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Pleasanton, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 23, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.