Dave Faciana, DPT, SCS, CSCS

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT19246 Issued in CA

Practice address

4225 Tierra Rejada Rd
Moorpark, CA 93021-3779

Phone

(805) 530-3838

Fax

(805) 530-3832

NPI assigned

Jul 14, 2006

Last updated

Sep 5, 2019By the provider in NPPES

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, 1993

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Biomotion Physical Therapy PC

  • Physical Therapist
  • Moorpark, CA
  • NPI 1124050190
  Medicare reassignment NPD Authorized official
• Moorpark Physical Therapy & Sport Rehab Center

  • Physical Therapist
  • Moorpark, CA
  • NPI 1730111089
  NPD (past)

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

{
    "created_epoch": "1152835200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1567641600000",
    "number": "1184640880",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "865 PATRIOT DR",
            "address_2": "STE 202",
            "city": "MOORPARK",
            "state": "CA",
            "postal_code": "930213405",
            "telephone_number": "805-530-3838",
            "fax_number": "805-530-3832"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4225 TIERRA REJADA RD",
            "city": "MOORPARK",
            "state": "CA",
            "postal_code": "930213779",
            "telephone_number": "805-530-3838",
            "fax_number": "805-530-3832"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FACIANA",
        "first_name": "DAVE",
        "credential": "DPT, SCS, CSCS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-14",
        "last_updated": "2019-09-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "PT19246",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Shauna Egertson, MS, CCC-SLP
• Kristina Eifert, ASW
• Ely Hasany DDS,Inc.
• Exovie,LLC
• Express Photocopy Service, Inc.
• John A Farag
• Katrina Fernandes, FNP
• Fischer Medical Supply Inc
• Cassandra Fisher, FNP
• Rio Ann Fitzgerald

• Physical Therapist in Moorpark, CA
• Providers in Moorpark, 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 5, 2019; 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.