Andrew Cisneros, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

307049 Issued in CA

Practice address

450 W Palmdale Blvd Ste F
Palmdale, CA 93551-3104

Phone

(661) 273-5333

Fax

(661) 273-0033

NPI assigned

Oct 28, 2024

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

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 and National Provider Directory roles.

• All Star Physical Therapy

  • Physical Therapist
  • Murrieta, CA
  • NPI 1750559431
  Medicare reassignment NPD
• Progressive Physical Therapy Inc

  • Physical Therapy Clinic/Center
  • Tarzana, CA
  • NPI 1184605586

  Physical Therapist

  NPD
• Elite Physical Therapy and Wellness, Inc.

  • Physical Therapist
  • La Quinta, CA
  • NPI 1780702209
  NPD (past)

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

{
    "created_epoch": "1730073600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1730073600000",
    "number": "1275355646",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1650 LYNDON FARM CT STE 300",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402235005"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "450 W PALMDALE BLVD STE F",
            "city": "PALMDALE",
            "state": "CA",
            "postal_code": "935513104",
            "telephone_number": "661-273-5333",
            "fax_number": "661-273-0033"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CISNEROS",
        "first_name": "ANDREW",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2024-10-28",
        "last_updated": "2024-10-28",
        "certification_date": "2024-10-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "307049",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Janet Christman-Degruy, RPH
• Christopher J. Petersen, D.C. Chiropractic, Inc.
• Wah Wah Chu, MD
• Craig Aaron Cincis
• Ian Christie B Cipriano, MD
• Linda Celeste Cisneros
• Citizen Care HHA
• Felicia Darlene Clark
• Juliet Catherine Clark
• Olga Lidia Clark

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 28, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.