Mario Urdaneta-Moncada, PT, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT43043 Issued in CA

Practice address

8200 Stockdale Hwy
Ste B1
Bakersfield, CA 93311-1091

Phone

(661) 827-8959

Fax

(661) 827-1779

NPI assigned

Nov 2, 2015

Sex

Male

Sole proprietor

No

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 OR

Enrollment records 1

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.

• KJB Consulting Corporation

  • Physical Therapy Clinic/Center
  • Portland, OR
  • NPI 1497172373

  Physical Therapist

  Medicare reassignment NPD
• Green Heron Physical Therapy LLC

  • Physical Therapy Clinic/Center
  • Portland, OR
  • NPI 1518558469
  NPD Authorized official
• San Luis Physical Therapy & Orthopedic Rehabilitation Inc

  • Physical Therapy Clinic/Center
  • Bakersfield, CA
  • NPI 1104859230

  Physical Therapist

  NPD

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

{
    "created_epoch": "1446422400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1446422400000",
    "number": "1225401193",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1106 WALNUT ST",
            "address_2": "SUITE 110",
            "city": "SAN LUIS OBISPO",
            "state": "CA",
            "postal_code": "934012416",
            "telephone_number": "805-540-4359",
            "fax_number": "805-788-0845"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8200 STOCKDALE HWY",
            "address_2": "STE B1",
            "city": "BAKERSFIELD",
            "state": "CA",
            "postal_code": "933111091",
            "telephone_number": "661-827-8959",
            "fax_number": "661-827-1779"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "URDANETA-MONCADA",
        "first_name": "MARIO",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-11-02",
        "last_updated": "2015-11-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "PT43043",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Frank Uranday, R.D.O.
• Stacy Ann Uranday, MFTI, RAS-I
• Nancy Urbano
• Evan William Urbina
• Jose Maria Urbina, MD
• Israel Juan Urena
• Nadir Lizeth Urias Coronel
• Edith Urias Sanchez
• Angie Esther Urias
• Abraham Jason Uribe

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 2, 2015; 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.