Individual provider Active NPI

Eric Lee O Pineda, PTA

  • Physical Therapy Assistant
  • Northridge, CA
National Provider Identifier
1225850720
Registry record updated Oct 28, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy AssistantTaxonomy code 225200000X
License
50778 Issued in CA
Practice address
8550 Balboa Blvd Ste 242
Northridge, CA 91325-3593
Phone
(877) 757-8353
NPI assigned
Oct 28, 2024
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 28, 2024

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 50778 CA Primary

Addresses

Primary practice location

8550 Balboa Blvd Ste 242
Northridge, CA 91325-3593

Mailing address

8550 Balboa Blvd Ste 242
Northridge, CA 91325-3593
Phone (877) 757-8353

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

Practice roles

OrganizationSpecialtyStatusNew patients
All Care Physical Therapy, P.C. CurrentSince Nov 3, 2024 Accepting new patients
Slptele LLC CurrentSince Nov 3, 2024 Accepting new patients

Locations

8550 Balboa Blvd
Ste 242
Northridge, CA 91325

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": "1730073600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1730073600000",
    "number": "1225850720",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8550 BALBOA BLVD STE 242",
            "city": "NORTHRIDGE",
            "state": "CA",
            "postal_code": "913253593",
            "telephone_number": "877-757-8353"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8550 BALBOA BLVD STE 242",
            "city": "NORTHRIDGE",
            "state": "CA",
            "postal_code": "913253593",
            "telephone_number": "877-757-8353"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "O PINEDA",
        "first_name": "ERIC",
        "middle_name": "LEE",
        "credential": "PTA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2024-10-28",
        "last_updated": "2024-10-28",
        "certification_date": "2024-10-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "CA",
            "license": "50778",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Northridge, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 28, 2024; 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.