Juan Carlo Fruto

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

41851 Issued in CA

Practice address

41024 Sunsprite St
Lake Elsinore, CA 92532-1556

Phone

(951) 575-9768

NPI assigned

Feb 3, 2017

Last updated

Feb 3, 2017By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Not listed in the public Medicare enrollment file

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• California Luna Care Physical Therapy PC

  • Physical Therapist
  • Los Gatos, CA
  • NPI 1689162166
  NPD

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

{
    "created_epoch": "1486080000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1486080000000",
    "number": "1326586975",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "41024 SUNSPRITE ST",
            "city": "LAKE ELSINORE",
            "state": "CA",
            "postal_code": "925321556",
            "telephone_number": "951-575-9768"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "41024 SUNSPRITE ST",
            "city": "LAKE ELSINORE",
            "state": "CA",
            "postal_code": "925321556",
            "telephone_number": "951-575-9768"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FRUTO",
        "first_name": "JUAN CARLO",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2017-02-03",
        "last_updated": "2017-02-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "41851",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sheri G Frazin, DC
• Anthony Freedman II
• Kellie Leigh Freese, CMT
• Yanel Fregoso
• Deanna French
• Latasha Fuller
• Jungrim Furukawa
• Ashley E Gaboury
• Lourdes Patricia Gabucan, AMFT
• Amanda Nicole Gaddis

• Physical Therapist in Lake Elsinore, CA
• Providers in Lake Elsinore, CA by specialty
• Physical Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 3, 2017; 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.