Individual provider Active NPI

Rex-David Lalap Arcibal

  • Physical Therapy Assistant
  • Chino Hills, CA
National Provider Identifier
1265038905
Registry record updated Dec 8, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy AssistantTaxonomy code 225200000X
License
PTA50734 Issued in CA
Practice address
14772 Pipeline Ave
Chino Hills, CA 91709-6027
Phone
(909) 606-0886
NPI assigned
Dec 8, 2020
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 8, 2020

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 PTA50734 CA Primary

Addresses

Primary practice location

14772 Pipeline Ave
Chino Hills, CA 91709-6027

Mailing address

3849 Albury Ave
Long Beach, CA 90808-2045
Phone (562) 884-0577

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

State licenses

LicenseStateTypeSpecialty
PTA50734CAMDPhysical Therapy Assistant

NPI Registry JSON

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

{
    "created_epoch": "1607385600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1607385600000",
    "number": "1265038905",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3849 ALBURY AVE",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "908082045",
            "telephone_number": "562-884-0577"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14772 PIPELINE AVE",
            "city": "CHINO HILLS",
            "state": "CA",
            "postal_code": "917096027",
            "telephone_number": "909-606-0886"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ARCIBAL",
        "first_name": "REX-DAVID",
        "middle_name": "LALAP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-12-08",
        "last_updated": "2020-12-08",
        "certification_date": "2020-12-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "CA",
            "license": "PTA50734",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chino Hills, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 8, 2020; 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.