Vanisha Amin

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

304153 Issued in CA

Practice address

2700 N Main St Ste 150
Santa Ana, CA 92705-6638

Phone

(844) 316-7979

Fax

(866) 813-1235

NPI assigned

Nov 19, 2020

Last updated

Sep 6, 2023By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

University of Pittsburgh School of Medicine, 2020

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Livara Health Medical Group PCGroup PAC ID 8022238872, 23 clinicians

Practice addresses (Care Compare)

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Livara Health Medical Group PC

  • Physical Therapist
  • San Diego, CA
  • NPI 1144469404
  Medicare reassignment Care Compare group NPD
• Livara Health Medical Group NJ, PC

  • Physical Therapist
  • San Diego, CA
  • NPI 1861282691
  NPD (past)
• Spinezone Medical Fitness, Inc.

  • Physical Therapist
  • Oceanside, CA
  • NPI 1659915015
  NPD (past)
• Spinezone Medical Fitness, Inc.

  • Physical Therapist
  • Lake Forest, CA
  • NPI 1689439739
  NPD (past)
• Spinezone Medical Fitness, Inc.

  • Physical Therapist
  • Santa Ana, CA
  • NPI 1699251256
  NPD (past)
• Spinezone Medical Fitness, Inc.

  • Physical Therapist
  • Santa Ana, CA
  • NPI 1699510362
  NPD (past)
• Spinezone Medical Fitness, Inc.

  • Physical Therapist
  • Del Mar, CA
  • NPI 1720517428
  NPD (past)

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

{
    "created_epoch": "1605744000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1693958400000",
    "number": "1255934493",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7525 METROPOLITAN DR STE 306",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921084404",
            "telephone_number": "844-316-7979",
            "fax_number": "866-813-1235"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2700 N MAIN ST STE 150",
            "city": "SANTA ANA",
            "state": "CA",
            "postal_code": "927056638",
            "telephone_number": "844-316-7979",
            "fax_number": "866-813-1235"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1828 Oceanside Blvd",
            "address_purpose": "LOCATION",
            "city": "Oceanside",
            "state": "CA",
            "postal_code": "920543452",
            "country_code": "US",
            "telephone_number": "844-316-7979",
            "fax_number": "866-813-1235",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "AMIN",
        "first_name": "VANISHA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-11-19",
        "last_updated": "2023-09-06",
        "certification_date": "2023-08-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "304153",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PHYSICAL THERAPY BOARD OF CALIFORNIA",
            "identifier": "304153",
            "state": "CA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "his@spinezone.com",
            "affiliation": "N",
            "endpointDescription": "Email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "7525 Metropolitan Dr Ste 306",
            "city": "San Diego",
            "state": "CA",
            "country_code": "US",
            "postal_code": "921084404",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• American Stellar Home Health Services Inc
• Emily Jasmine Amezquita
• Amg Ipa
• Arthur William Amidon
• Shadi Amin, D.C.
• Farnaz Amini, DMD
• Samira Amini, DDS
• Christina Amiot, PSYD
• Amir G Nasseri, MD, PC
• Shiva Amirkhalili, RADT

• Physical Therapist in Santa Ana, CA
• Providers in Santa Ana, CA by specialty
• Physical Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 6, 2023; 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.