Active NPI
Francisco T Pimentel, P.T.A.
- Physical Therapy Assistant
- Calexico, CA
National Provider Identifier
1225319478
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapy Assistant
- License
- AT 3780
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| AT 3780 | Other | CA | STATE 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
| License | State | Type | Specialty |
|---|---|---|---|
| AT 3780 | CA | MD | Physical Therapy Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Farid Zia Physical Therapist a Professional Corp | Past | 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.
-
- Physical Therapist
- El Centro, CA
- NPI 1922146109
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.