NPIMap

Organization Active NPI

Nifty After Fifty

  • Physical Therapy Clinic/Center
  • Garden Grove, CA
National Provider Identifier
1215974308
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
License
A28818 Issued in CA
Legal business name
NIFTY AFTER FIFTY
Practice address
12572 Valley View St
Garden Grove, CA 92845-2006
Phone
(714) 823-4400
Fax
(714) 823-4404
NPI assigned
May 31, 2006
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Sheldon Spencer Zinberg, M.D.
Title
Chief Executive Officer
Phone
(714) 823-4400

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Clinic/Center 261QP2000X A28818 CA Primary

Addresses

Primary practice location

12572 Valley View St
Garden Grove, CA 92845-2006

Mailing address

12572 Valley View St
Garden Grove, CA 92845-2006
Phone (714) 823-4400

National Provider Directory

National Provider Directory

Locations

12575 Vly VW St
Garden Grove, CA 92845
Phone (800) 928-0867

12575 Vly VW St
Garden Grove, CA 92845
Phone (800) 928-0867

16405 Whittier Blvd
Whittier, CA 90603
Phone (562) 501-2200

Practitioners & affiliated clinicians

Practitioners 41

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 41

NPI Registry JSON

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

{
    "created_epoch": "1149033600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1215974308",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12572 VALLEY VIEW ST",
            "city": "GARDEN GROVE",
            "state": "CA",
            "postal_code": "928452006",
            "telephone_number": "714-823-4400",
            "fax_number": "714-823-4404"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12572 VALLEY VIEW ST",
            "city": "GARDEN GROVE",
            "state": "CA",
            "postal_code": "928452006",
            "telephone_number": "714-823-4400",
            "fax_number": "714-823-4404"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NIFTY AFTER FIFTY",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-31",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "ZINBERG",
        "authorized_official_first_name": "SHELDON",
        "authorized_official_middle_name": "SPENCER",
        "authorized_official_title_or_position": "CHIEF EXECUTIVE OFFICER",
        "authorized_official_telephone_number": "714-823-4400",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "CA",
            "license": "A28818",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Garden Grove, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 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.

Verify at the official NPI Registry.