Active NPI
Alberto Jose Cachero Jr.
- Physical Therapist
- Fountain Valley, CA
National Provider Identifier
1245301092
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT17641
- Practice address
- 11160 Warner Ave
Suite 311
Fountain Valley, CA 92708-4008 - Phone
- (714) 850-7300
- Fax
- (714) 850-7310
- NPI assigned
- Nov 13, 2006
- Last updated
- Jul 8, 2007
- 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 Therapist | 225100000X | PT17641 | CA | Primary |
Addresses
Primary practice location
11160 Warner Ave
Suite 311
Fountain Valley, CA 92708-4008
Mailing address
11160 Warner Ave
Suite 311
Fountain Valley, CA 92708-4008
Phone (714) 850-7300
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| PT17641 | Other | CA | PHYSICAL THERAPIST LICENS |
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)
- Enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1163376000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1245301092",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11160 WARNER AVE",
"address_2": "SUITE 311",
"city": "FOUNTAIN VALLEY",
"state": "CA",
"postal_code": "927084008",
"telephone_number": "714-850-7300",
"fax_number": "714-850-7310"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11160 WARNER AVE",
"address_2": "SUITE 311",
"city": "FOUNTAIN VALLEY",
"state": "CA",
"postal_code": "927084008",
"telephone_number": "714-850-7300",
"fax_number": "714-850-7310"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CACHERO",
"first_name": "ALBERTO",
"middle_name": "JOSE",
"name_prefix": "Mr.",
"name_suffix": "Jr.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-11-13",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "CA",
"license": "PT17641",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PHYSICAL THERAPIST LICENS",
"identifier": "PT17641",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Fountain Valley, CA
- Bustillo Medical Corp, Inc
- Gerardo Bustillo, M.D.
- Eun Kwang Byun, MD
- C and a Health Services
- Dennis Anthony Cabrera, PHARMD
- Lizbeth Cadena
- Lisa Cai, PA-C
- California Emergency Physicians Medical Group, a Professional Corp
- California Heart Associates
- California Prime Recovery Services Inc (California Prime Recovery)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.