Individual provider Active NPI

Sapan Naresh Palkhiwala, D.P.T.

  • Geriatric Physical Therapist
  • Laguna Hills, CA
National Provider Identifier
1306917133
Registry record updated Feb 1, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Geriatric Physical TherapistTaxonomy code 2251G0304X
License
PT26543 Issued in CA
Practice address
24422 Avenida de la Carlota
Suite 190
Laguna Hills, CA 92653-7602
Phone
(949) 340-6927
Fax
(949) 215-7246
NPI assigned
Nov 13, 2006
Last updated
Feb 1, 2011By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 1, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Geriatric Physical Therapist 2251G0304X PT26543 CA Primary

Addresses

Primary practice location

24422 Avenida de la Carlota
Suite 190
Laguna Hills, CA 92653-7602

Mailing address

24422 Avenida de la Carlota
Suite 190
Laguna Hills, CA 92653-7602
Phone (949) 340-6927

Other identifiers 1

IdentifierTypeStateIssuer
WPT26543AOtherCAPPIN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20060208000471 CA Practitioner - Physical Therapist in Private Practice 6002821352 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
University of Southern California Keck School of Medicine, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Complete Balance Solution Institute of Physiotherapy IncGroup PAC ID 2062427305, 29 clinicians

Practice addresses (Care Compare)

18 Endeavor
Suite 208
Irvine, CA 92618-3181
Phone (949) 340-6927

23141 Moulton Pkwy
Suite 111
Laguna Hills, CA 92653-1241
Phone (949) 340-6927

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PT26543CAMDGeriatric Physical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Complete Balance Solution Institute of Physiotherapy Inc Geriatrics CurrentSince Jul 1, 2005 Accepting new patients
PNP Associates Past Accepting new patients
PNP Associates Past Accepting new patients

Locations

18 Endeavor
Ste 105
Irvine, CA 92618
Phone (949) 340-6927

18 Endeavor
Ste 208
Irvine, CA 92618
Phone (949) 276-4008

23141 Moulton Pkwy
Ste 111
Laguna Hills, CA 92653
Phone (949) 340-6927

24422 Avenida de la Carlota
Ste 190
Laguna Hills, CA 92653
Phone (800) 801-9833

13001 Seal Beach Blvd
Ste 100
Seal Beach, CA 90740
Phone (310) 799-6666

Organizations & group practices 3

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.

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": "1296518400000",
    "number": "1306917133",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24422 AVENIDA DE LA CARLOTA",
            "address_2": "SUITE 190",
            "city": "LAGUNA HILLS",
            "state": "CA",
            "postal_code": "926537602",
            "telephone_number": "949-340-6927",
            "fax_number": "949-215-7246"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "24422 AVENIDA DE LA CARLOTA",
            "address_2": "SUITE 190",
            "city": "LAGUNA HILLS",
            "state": "CA",
            "postal_code": "926537602",
            "telephone_number": "949-340-6927",
            "fax_number": "949-215-7246"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PALKHIWALA",
        "first_name": "SAPAN",
        "middle_name": "NARESH",
        "name_prefix": "Dr.",
        "credential": "D.P.T.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-13",
        "last_updated": "2011-02-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2251G0304X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Geriatrics",
            "state": "CA",
            "license": "PT26543",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PPIN",
            "identifier": "WPT26543A",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Laguna Hills, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 1, 2011; 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.