Individual provider Active NPI

Francisco T Pimentel, P.T.A.

  • Physical Therapy Assistant
  • Calexico, CA
National Provider Identifier
1225319478
Registry record updated Sep 1, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy AssistantTaxonomy code 225200000X
License
AT 3780 Issued in CA
Practice address
420 Heffernan Ave
Ste 2-B
Calexico, CA 92231-4718
Phone
(760) 768-4100
Fax
(760) 768-6900
NPI assigned
Sep 1, 2011
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 1, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Assistant 225200000X AT 3780 CA Primary

Addresses

Primary practice location

420 Heffernan Ave
Ste 2-B
Calexico, CA 92231-4718

Mailing address

420 Heffernan Ave
Ste 2-B
Calexico, CA 92231-4718
Phone (760) 768-4100

Other identifiers 1

IdentifierTypeStateIssuer
AT 3780OtherCASTATE OF CALIFORNIA

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

LicenseStateTypeSpecialty
AT 3780CAMDPhysical Therapy Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Farid Zia Physical Therapist a Professional Corp PastSince Dec 9, 2016 Accepting new patients

Organizations & group practices 1

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": "1314835200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1314835200000",
    "number": "1225319478",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "420 HEFFERNAN AVE",
            "address_2": "STE 2-B",
            "city": "CALEXICO",
            "state": "CA",
            "postal_code": "922314718",
            "telephone_number": "760-768-4100",
            "fax_number": "760-768-6900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "420 HEFFERNAN AVE",
            "address_2": "STE 2-B",
            "city": "CALEXICO",
            "state": "CA",
            "postal_code": "922314718",
            "telephone_number": "760-768-4100",
            "fax_number": "760-768-6900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PIMENTEL",
        "first_name": "FRANCISCO",
        "middle_name": "T",
        "credential": "P.T.A.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-09-01",
        "last_updated": "2011-09-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "CA",
            "license": "AT 3780",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE OF CALIFORNIA",
            "identifier": "AT 3780",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Calexico, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 1, 2011; 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.