Micah Kalua, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

36738 Issued in CA

Practice address

33832 Robles Dr
Dana Point, CA 92629-2265

Phone

(949) 257-2898

NPI assigned

Aug 7, 2013

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Sand Coast Rehab Physical Therapy Inc

  • Physical Therapist
  • Lakewood, NJ
  • NPI 1639766603

  CA

  Medicare reassignment NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1375833600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1375833600000",
    "number": "1164854550",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "33832 ROBLES DR",
            "city": "DANA POINT",
            "state": "CA",
            "postal_code": "926292265",
            "telephone_number": "949-257-2898"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "33832 ROBLES DR",
            "city": "DANA POINT",
            "state": "CA",
            "postal_code": "926292265",
            "telephone_number": "949-257-2898"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KALUA",
        "first_name": "MICAH",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-08-07",
        "last_updated": "2013-08-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "36738",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Noorani Jiwani, L.AC., D.A.O.M.
• Joanne Karla Gabot-Heyman DDS Inc
• Lana Lee Jones, PH.D., L.M.F.T.
• Joseph Giacopelli
• Judy L Bourget MD Inc
• Gayle B Kaminsky, LMFT
• Evonne Kanengieter, L.AC.
• Marjan Karimabadi, M.D
• Kathleen Farinacci MD and Lee N Sandler MD a Med Corp
• Avani Kathuria, PHARMD

• Physical Therapist in Dana Point, CA
• Providers in Dana Point, CA by specialty
• Physical Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 7, 2013; 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.

Verify at the official NPI Registry.