Individual provider Active NPI

Charles J Zabala, P.T.

  • Physical Therapist
  • Long Beach, CA
National Provider Identifier
1225096019
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT32276 Issued in CA
Practice address
4060 Orange Ave
Long Beach, CA 90807-3717
Phone
(562) 989-6516
Fax
(562) 989-6516
NPI assigned
May 2, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X PT32276 CA Primary

Addresses

Primary practice location

4060 Orange Ave
Long Beach, CA 90807-3717

Mailing address

7330 Foster Bridge Blvd
Downey, CA 90240-2016
Phone (323) 683-3595

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20070702000289 CA Practitioner - Physical Therapist in Private Practice 6305945494 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
32276CAMDMarriage & Family Therapist
PT32276CAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Manale Rehabilitation Network Inc Physical Therapist CurrentSince Feb 10, 2024 Accepting new patients
Nemmo Physical Therapy Center Physical Therapist Past Accepting new patients

Locations

7320 Firestone Blvd
Ste 105
Downey, CA 90241
Phone 5629275820 ext. 100

5161 Pomona Blvd
Ste 108109
Los Angeles, CA 90022
Phone 3238957872 ext. 201

817 W Beverly Blvd
Ste 201
Montebello, CA 90640
Phone (562) 991-1324

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1146528000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1225096019",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7330 FOSTER BRIDGE BLVD",
            "city": "DOWNEY",
            "state": "CA",
            "postal_code": "902402016",
            "telephone_number": "323-683-3595",
            "fax_number": "323-843-9567"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4060 ORANGE AVE",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "908073717",
            "telephone_number": "562-989-6516",
            "fax_number": "562-989-6516"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZABALA",
        "first_name": "CHARLES",
        "middle_name": "J",
        "credential": "P.T.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-02",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "PT32276",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Long Beach, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.