Samuel Creed Larrucea, DPT, ECS

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT 24966 Issued in CA

Practice address

2805 J St Ste 210
Sacramento, CA 95816-4307

Phone

(916) 212-6396

Fax

(916) 588-4943

NPI assigned

Oct 16, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other names 1

• Creed Larrucea Professional name

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2010

Medicare assignment

May accept Medicare assignment

Group practices

Bay Area Foot Care IncGroup PAC ID 0345329686, 127 clinicians

Douglas J Abeles MD IncGroup PAC ID 1456449453, 4 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

88.65 of 100Reported as group

Quality

68.04

Promoting interoperability

99

Improvement activities

40

Cost

75.11

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: samuel.larrucea.1@20181.direct.athenahealth.com
• FHIR API: https://fhir.meditouchehr.com/api/fhir/r4/
• Direct secure messaging: creed.larrucea.1@9116.direct.athenahealth.com

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.

• Bay Area Foot Care, Inc

  • Foot & Ankle Surgery Podiatrist
  • San Francisco, CA
  • NPI 1508911892
  Medicare reassignment Care Compare group NPD
• Douglas J Abeles, MD, Inc.

  • Specialist
  • Castro Valley, CA
  • NPI 1255530077
  Medicare reassignment Care Compare group NPD
• Northern California Orthopaedic Associates Corp

  • Orthopaedic Surgery Physician
  • Sacramento, CA
  • NPI 1942610795
  Medicare reassignment NPD
• Peter N. Sfakianos, M.D., Inc.

  • Orthopaedic Surgery Physician
  • Folsom, CA
  • NPI 1639303951
  Medicare reassignment NPD
• Robert R. Slater, Jr, MD. Incorporated

  • Orthopaedic Hand Surgery Physician
  • Folsom, CA
  • NPI 1316134448
  Medicare reassignment
• Bay Area Foot Care Inc

  • Foot & Ankle Surgery Podiatrist
  • San Jose, CA
  • NPI 1649136490
  NPD
• Northern California Orthopaedic Associates Corp

  • Orthopaedic Surgery Physician
  • Roseville, CA
  • NPI 1558720177
  NPD
• Rehabilitation Management Systems

  • Specialist
  • Sacramento, CA
  • NPI 1063693885
  NPD (past)

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

{
    "created_epoch": "1160956800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1589932800000",
    "number": "1235219353",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2047 BLACKRIDGE AVE",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958351248",
            "telephone_number": "916-212-6396"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2805 J ST STE 210",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958164307",
            "telephone_number": "916-212-6396",
            "fax_number": "916-588-4943"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "75 Scripps Dr",
            "address_purpose": "LOCATION",
            "city": "Sacramento",
            "state": "CA",
            "postal_code": "958256320",
            "country_code": "US",
            "telephone_number": "916-212-6396",
            "fax_number": "916-588-4943",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1580 Creekside Dr Ste 100",
            "address_purpose": "LOCATION",
            "city": "Folsom",
            "state": "CA",
            "postal_code": "956303887",
            "country_code": "US",
            "telephone_number": "916-212-6396",
            "fax_number": "916-588-4943",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2291 Pacheco St",
            "address_purpose": "LOCATION",
            "city": "Concord",
            "state": "CA",
            "postal_code": "945202015",
            "country_code": "US",
            "telephone_number": "916-212-6396",
            "fax_number": "916-588-4943",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "21030 Redwood Rd",
            "address_purpose": "LOCATION",
            "city": "Castro Valley",
            "state": "CA",
            "postal_code": "945465920",
            "country_code": "US",
            "telephone_number": "916-212-6396",
            "fax_number": "916-588-4943",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2410 Del Paso Rd",
            "address_purpose": "LOCATION",
            "city": "Sacramento",
            "state": "CA",
            "postal_code": "958349607",
            "country_code": "US",
            "telephone_number": "916-212-6396",
            "fax_number": "916-588-4943",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1924 Del Paso Rd",
            "address_purpose": "LOCATION",
            "city": "Sacramento",
            "state": "CA",
            "postal_code": "958347714",
            "country_code": "US",
            "telephone_number": "916-212-6396",
            "fax_number": "916-588-4943",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "648 Northfield Dr",
            "address_purpose": "LOCATION",
            "city": "Sacramento",
            "state": "CA",
            "postal_code": "958332442",
            "country_code": "US",
            "telephone_number": "916-212-6396",
            "fax_number": "916-588-4943",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2047 Blackridge Ave",
            "address_purpose": "LOCATION",
            "city": "Sacramento",
            "state": "CA",
            "postal_code": "958351248",
            "country_code": "US",
            "telephone_number": "916-212-6396",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LARRUCEA",
        "first_name": "SAMUEL",
        "middle_name": "CREED",
        "credential": "DPT, ECS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-16",
        "last_updated": "2020-05-20",
        "certification_date": "2020-05-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2251E1300X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Electrophysiology, Clinical",
            "state": "CA",
            "license": "EN 52",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "PT 24966",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CREED",
            "last_name": "LARRUCEA",
            "credential": "DPT, ECS",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Leona Esther Larochelle, CMT
• Christopher Louis Larose
• Giena Rosalie Laroza-Allen
• Antonia Larreynaga
• Rebecca Sue Larrick, LVN
• Larry'S Comfort Shoes & Pedorthic Services, Inc
• Julie Catharine Mary Larsen, RN
• Lawrence Joseph Larsen, D.D.S.
• Nicolet Larsen
• Robert Eric Larsen, M.D.

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 20, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.