Carlos Pena Pineda III, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT32078 Issued in CA

Practice address

3300 E South St
Lakewood, CA 90805-4549

Phone

(562) 303-6366

NPI assigned

Sep 2, 2006

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, 2000

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Functional Rehabilitation Physical Therapy PCGroup PAC ID 0941604417, 6 clinicians

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 and National Provider Directory roles.

• Functional Rehabilitation Physical Therapy PC

  • Physical Therapy Clinic/Center
  • Lakewood, CA
  • NPI 1063083723

  Physical Therapist

  Medicare reassignment Care Compare group NPD Authorized official
• Rehabilitation Dynamics Inc

  • Physical Therapist
  • Lakewood, CA
  • NPI 1548460157
  NPD (past) Authorized official
• Randy S. Higashi Chiropractic, Inc.

  • Chiropractor
  • Lynwood, CA
  • NPI 1639298557
  NPD (past)

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

{
    "created_epoch": "1157155200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1657152000000",
    "number": "1194827063",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3300 E SOUTH ST STE 203",
            "city": "LAKEWOOD",
            "state": "CA",
            "postal_code": "908054589",
            "telephone_number": "562-303-6366"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3300 E SOUTH ST",
            "city": "LAKEWOOD",
            "state": "CA",
            "postal_code": "908054549",
            "telephone_number": "562-303-6366"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PINEDA",
        "first_name": "CARLOS",
        "middle_name": "PENA",
        "name_prefix": "Mr.",
        "name_suffix": "III",
        "credential": "DPT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-09-02",
        "last_updated": "2022-07-07",
        "certification_date": "2022-07-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "PT32078",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kristine T Phan, BCBA
• Lorenzo Phillips
• Phlebmax Laboratory Services
• Pih Health Physicians
• Isela Pina Monroy
• Pioneer Provider Network
• Planned Parenthood Los Angeles - Lakewood Center
• Planned Parenthood Los Angeles-Lakewood Center Basic
• Caitlin Pol
• Andrea Polo Alcantara

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 7, 2022; 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.