Active NPI
Pamela Dorner, P.T.
- Physical Therapist
- Irvine, CA
National Provider Identifier
1326028374
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT 10694
- Practice address
- 4200 Trabuco Rd
Suite 150
Irvine, CA 92620-3600 - Phone
- (949) 651-9199
- NPI assigned
- Jan 17, 2006
- Sex
- Female
- Sole proprietor
- Yes
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 | PT 10694 | CA | Primary |
Addresses
Primary practice location
4200 Trabuco Rd
Suite 150
Irvine, CA 92620-3600
Mailing address
2645 Augusta
Tustin, CA 92782-1201
Phone (714) 730-5010
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20101007000649 | CA | Practitioner - Physical Therapist in Private Practice | 3274725353 | Practice locations: Tustin, CA |
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 1981
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
Tustin, CA 92782
Phone (949) 651-9199
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PT 10694 | CA | MD | Physical Therapist |
| 10694 | CA | MD | Family Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1137456000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1269820800000",
"number": "1326028374",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2645 AUGUSTA",
"city": "TUSTIN",
"state": "CA",
"postal_code": "927821201",
"telephone_number": "714-730-5010"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4200 TRABUCO RD",
"address_2": "SUITE 150",
"city": "IRVINE",
"state": "CA",
"postal_code": "926203600",
"telephone_number": "949-651-9199"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DORNER",
"first_name": "PAMELA",
"credential": "P.T.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-01-17",
"last_updated": "2010-03-29",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "CA",
"license": "PT 10694",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Irvine, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 29, 2010; 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.