Edwal Pierre

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

300031 Issued in CA

Practice address

1350 O St Ste 201
Fresno, CA 93721-1828

Phone

(559) 478-5327

NPI assigned

Apr 19, 2021

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 CA

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2019

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

California Luna Care Physical Therapy PCGroup PAC ID 9638427834, 769 clinicians

Anchor Medical GroupGroup PAC ID 9133616519, 19 clinicians

Caduceus Physicians Medical GroupGroup PAC ID 5294762654, 23 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

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.

• Anchor Medical Group

  • Family Medicine Physician
  • Yorba Linda, CA
  • NPI 1700678810

  Physical Therapist

  Medicare reassignment Care Compare group NPD
• Caduceus Physicians Medical Group

  • Family Medicine Physician
  • Yorba Linda, CA
  • NPI 1497702724

  Physical Therapist

  Medicare reassignment Care Compare group NPD
• California Luna Care Physical Therapy PC

  • Physical Therapist
  • Los Gatos, CA
  • NPI 1689162166
  Medicare reassignment Care Compare group NPD
• Phys Med a Physical Therapy Corporation

  • Physical Therapist
  • Fresno, CA
  • NPI 1699728188
  Medicare reassignment NPD
• St Jude Hospital Inc

  • General Acute Care Hospital
  • Fullerton, CA
  • NPI 1194926279
  NPD (past)

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

{
    "created_epoch": "1618790400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1618790400000",
    "number": "1235710393",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1350 O ST STE 201",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937211828"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1350 O ST STE 201",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937211828",
            "telephone_number": "559-478-5327"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PIERRE",
        "first_name": "EDWAL",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-04-19",
        "last_updated": "2021-04-19",
        "certification_date": "2021-04-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "300031",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jonathan Picos, MD,MBA
• Miguel Piedra Hernandez
• Lisette Piedra Sahagun, RN
• Nancy Ann Pierce, RN, BSN, MPH
• Gerald J. Pieroni, DDS
• Lukeman Pierre
• Jacquelynn C Pierson
• Courtney Pietszak
• Patricia E. Piggee, MD
• Pillpack LLC

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 19, 2021; 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.