Active NPI
Marc Andrew Hara, MPT
- Physical Therapist
- Los Angeles, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 25195
- Practice address
- 11687 National Blvd
Los Angeles, CA 90064-3801 - Phone
- (310) 481-9965
- NPI assigned
- Dec 29, 2006
- Last updated
- Mar 31, 2015
- Sex
- Male
- Sole proprietor
- No
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 | 25195 | CA | Primary |
Addresses
Primary practice location
11687 National Blvd
Los Angeles, CA 90064-3801
Mailing address
11687 National Blvd
Los Angeles, CA 90064-3801
Phone (310) 481-9965
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 1999
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
42150 Jackson St
Suite 103
Indio, CA 92203-9780
Phone (442) 300-3200
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Rehab Specialists, Inc | Physical Therapist | Current | Accepting new patients |
| MDRS Spine & Sport, Inc | Physical Therapist | Current | Accepting new patients |
| Jordan Physical Therapy Center Inc | Physical Therapist | Current | Accepting new patients |
| MDRS Spine & Sport, Inc | Physical Therapist | Current | Accepting new patients |
| Adi Rehab, Incorporated | Physical Therapist | Past | Accepting new patients |
Locations
450 Rosewood Ave
Ste 105
Camarillo, CA 93010
Phone (805) 389-4781
1020 Tierra del Rey
Ste A1
Chula Vista, CA 91910
Phone (619) 585-7104
5359 Balboa Blvd
Ste A
Encino, CA 91316
Phone (818) 506-7821
14150 Culver Dr
Ste 103
Irvine, CA 92604
Phone (949) 262-9142
42080 State St
#A
Palm Desert, CA 92211
Phone (760) 568-2894
9852 Business Park Dr
Ste A
Sacramento, CA 95827
Phone (916) 362-7962
2730 Wilshire Blvd
Ste 533
Santa Monica, CA 90403
Phone (310) 273-0870
1801 Cleveland Ave
Ste B
Santa Rosa, CA 95401
Phone (707) 526-4180
10635 Santa Monica Blvd
Ste 165
West Los Angeles, CA 90025
Phone 3102730877143
5850 Canoga Ave
Ste 120
Woodland Hills, CA 91367
Phone (747) 255-4089
Organizations & group practices 5
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.
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Physical Therapist
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- Physical Therapist
- Palm Desert, CA
- NPI 1730260407
-
- Physical Therapist
- Beverly Hills, CA
- NPI 1487717153
-
- Physical Therapist
- Temecula, CA
- NPI 1689824203
-
- Physical Therapist
- Los Angeles, CA
- NPI 1104850197
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1167350400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1427760000000",
"number": "1326104548",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11687 NATIONAL BLVD",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900643801",
"telephone_number": "310-481-9965"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11687 NATIONAL BLVD",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900643801",
"telephone_number": "310-481-9965"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HARA",
"first_name": "MARC",
"middle_name": "ANDREW",
"name_prefix": "Mr.",
"credential": "MPT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-12-29",
"last_updated": "2015-03-31",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "CA",
"license": "25195",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Los Angeles, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 31, 2015; 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.