NPIMap

Organization Active NPI

Sequoia Physical Therapy, Inc

  • Physical Therapy Clinic/Center
  • Buena Park, CA
National Provider Identifier
1174559223
Registry record updated Oct 14, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
Legal business name
SEQUOIA PHYSICAL THERAPY, INC
Practice address
6131 Orangethorpe Ave
Suite 135
Buena Park, CA 90620-4901
Phone
(714) 523-3822
Fax
(714) 523-3873
NPI assigned
Jun 23, 2006
Last updated
Oct 14, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 14, 2011

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

Authorized official

Name
Mr. Ron L Cram
Title
Owner
Phone
(714) 523-3822

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Clinic/Center 261QP2000X CA Primary

Addresses

Primary practice location

6131 Orangethorpe Ave
Suite 135
Buena Park, CA 90620-4901

Mailing address

6131 Orangethorpe Ave
Suite 135
Buena Park, CA 90620-4901
Phone (714) 523-3822

Other identifiers 1

IdentifierTypeStateIssuer
W16967AOtherCAMEDICARE ID

National Provider Directory

National Provider Directory

Locations

6131 Orangethorpe Ave
Ste 135
Buena Park, CA 90620
Phone (714) 523-3822

7530 Orangethorpe Ave
Buena Park, CA 90621
Phone (714) 523-3822

441 N Tustin St
Orange, CA 92867
Phone (714) 744-8244

Practitioners & affiliated clinicians

Practitioners 13

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 13

NPI Registry JSON

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

{
    "created_epoch": "1151020800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1318550400000",
    "number": "1174559223",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6131 ORANGETHORPE AVE",
            "address_2": "SUITE 135",
            "city": "BUENA PARK",
            "state": "CA",
            "postal_code": "906204901",
            "telephone_number": "714-523-3822",
            "fax_number": "714-523-3873"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6131 ORANGETHORPE AVE",
            "address_2": "SUITE 135",
            "city": "BUENA PARK",
            "state": "CA",
            "postal_code": "906204901",
            "telephone_number": "714-523-3822",
            "fax_number": "714-523-3873"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SEQUOIA PHYSICAL THERAPY, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-23",
        "last_updated": "2011-10-14",
        "status": "A",
        "authorized_official_last_name": "CRAM",
        "authorized_official_first_name": "RON",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "714-523-3822",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "CA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE ID",
            "identifier": "W16967A",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Buena Park, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 14, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.