John Carlo Dicdican Morales

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

300955 Issued in CA

Practice address

12930 Saratoga Ave Ste B5
Saratoga, CA 95070-4661

Phone

(408) 763-4905

NPI assigned

Sep 20, 2021

Sex

Male

Sole proprietor

Yes

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

Specialty

Physical Therapist in Private Practice

Education

Other, 2021

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Premier Sports Medicine and Physical TherapyGroup PAC ID 7517035249, 2 clinicians

Physical Therapy and Wellness CenterGroup PAC ID 8527165992, 5 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir4.healow.com/fhir/r4/FDJGBA

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.

• Premier Sports Medicine and Physical Therapy

  • Physical Therapy Clinic/Center
  • Santa Cruz, CA
  • NPI 1629238191

  Physical Therapist

  Medicare reassignment Care Compare group NPD
• Physical Therapy & Wellness Center

  • Physical Therapist
  • Red Bluff, CA
  • NPI 1346258506
  Medicare reassignment Care Compare group
• Optm Physical Therapy of Saratoga, Inc.

  • Specialist
  • Saratoga, CA
  • NPI 1538131917

  Physical Therapist

  Medicare reassignment NPD
• Thaila Ramanujam M D Inc

  • Specialist
  • Santa Cruz, CA
  • NPI 1700056280
  NPD (past)

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

{
    "created_epoch": "1632096000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1632096000000",
    "number": "1174293252",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1669 BLACK HAWK LN APT 51",
            "city": "MCKINLEYVILLE",
            "state": "CA",
            "postal_code": "955194280"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12930 SARATOGA AVE STE B5",
            "city": "SARATOGA",
            "state": "CA",
            "postal_code": "950704661",
            "telephone_number": "408-763-4905"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MORALES",
        "first_name": "JOHN CARLO",
        "middle_name": "DICDICAN",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2021-09-20",
        "last_updated": "2021-09-20",
        "certification_date": "2021-09-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "300955",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rachel Roya Mistry, RD
• Kimia Biglari Mohammadi
• Natalie Rose Mologne, DPT
• Christine E Moon, LMFT
• Amithyse Moore, MS CCC-SLP
• Sonja Ursula Morgner, CMT, CLT, CST-T
• George J Muhawi, M.D.
• N Prakash Inc
• Afsaneh Nasserbakht, PH.D.
• Mahtab Z Nejad, DC

• Physical Therapist in Saratoga, CA
• Providers in Saratoga, CA by specialty
• Physical Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 20, 2021; 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.