Active NPI
Vatsal Thumar, PTA
- Physical Therapy Assistant
- Riverside, CA
National Provider Identifier
1184231631
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapy Assistant
- License
- 012628-01
- Practice address
- 8123 Magnolia Ave Apt 39
Riverside, CA 92504-3463 - Phone
- (951) 227-1818
- NPI assigned
- Sep 29, 2020
- Last updated
- Sep 29, 2020
- Sex
- Male
- Sole proprietor
- Yes
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 Therapy Assistant | 225200000X | 012628-01 | NY | Primary |
Addresses
Primary practice location
8123 Magnolia Ave Apt 39
Riverside, CA 92504-3463
Mailing address
8123 Magnolia Ave Apt 39
Riverside, CA 92504-3463
Phone (951) 227-1818
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 012628-01 | NY | MD | Physical Therapy Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1601337600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1601337600000",
"number": "1184231631",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8123 MAGNOLIA AVE APT 39",
"city": "RIVERSIDE",
"state": "CA",
"postal_code": "925043463",
"telephone_number": "951-227-1818"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8123 MAGNOLIA AVE APT 39",
"city": "RIVERSIDE",
"state": "CA",
"postal_code": "925043463",
"telephone_number": "951-227-1818"
}
],
"practiceLocations": [],
"basic": {
"last_name": "THUMAR",
"first_name": "VATSAL",
"credential": "PTA",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2020-09-29",
"last_updated": "2020-09-29",
"certification_date": "2020-09-29",
"status": "A"
},
"taxonomies": [
{
"code": "225200000X",
"taxonomy_group": "",
"desc": "Physical Therapy Assistant",
"state": "NY",
"license": "012628-01",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Riverside, CA
- Thrifty Payless Inc (Rite Aid Pharmacy 05717)
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- Thrifty Payless Inc (Rite Aid Pharmacy 05714)
- Thrifty Payless Inc (Rite Aid Pharmacy 05715)
- Zaw Min Thu, D.D.S.
- Michael Thunquest
- Dorothy Thurman
- Michael Theodore Thurman, M.D.
- Tibbetts Medical Group, Inc.
- Tibbetts Medical Group, Inc.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 29, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.