Imperial Physical Therapy P C

Primary specialty

Physical TherapistTaxonomy code 225100000X

Legal business name

IMPERIAL PHYSICAL THERAPY P C

Practice address

12550 Hesperia Rd Ste 220
Victorville, CA 92395-5873

Phone

(909) 509-6064

NPI assigned

Apr 3, 2024

Organization subpart

No

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

Authorized official

Name

Dr. Eleazar Somintac Tayag, PT, DPT, MPHNPI 1245355783

Title

Ceo/Administrator

Phone

(909) 509-6064

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Eleazar Somintac Tayag, PT

  • Physical Therapist
  • Victorville, CA
  • NPI 1245355783
  Medicare reassignment Care Compare group NPD Authorized official
• Erdemar Tayag, PT

  • Geriatric Physical Therapist
  • Victorville, CA
  • NPI 1811388275
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1712102400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1760918400000",
    "number": "1326890385",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12550 HESPERIA RD STE 220",
            "city": "VICTORVILLE",
            "state": "CA",
            "postal_code": "923955873",
            "telephone_number": "909-509-6064"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12550 HESPERIA RD STE 220",
            "city": "VICTORVILLE",
            "state": "CA",
            "postal_code": "923955873",
            "telephone_number": "909-509-6064"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "19031 US Highway 18 Ste 100",
            "address_purpose": "LOCATION",
            "city": "Apple Valley",
            "state": "CA",
            "postal_code": "923072551",
            "country_code": "US",
            "telephone_number": "760-946-2165",
            "fax_number": "760-946-2169",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "IMPERIAL PHYSICAL THERAPY P C",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-04-03",
        "last_updated": "2025-10-20",
        "certification_date": "2025-10-20",
        "status": "A",
        "authorized_official_last_name": "TAYAG",
        "authorized_official_first_name": "ELEAZAR",
        "authorized_official_middle_name": "SOMINTAC",
        "authorized_official_title_or_position": "CEO/ADMINISTRATOR",
        "authorized_official_telephone_number": "909-509-6064",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PT, DPT, MPH"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Occupational Therapist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Speech-Language Pathologist",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Iehp Health Access
• Ignite Emergency Physicians a Medical Corporation
• Chukwuma Igwe
• Isaac Im, D.D.S
• Imhotep, Inc.
• Inc of Shahgaldian Dental
• Industrial Medical Services & Urgent Care Incorporation
• Industrial Medical Services & Urgent Care Incorporation
• Infinity 360 Homecare LLC
• Travis Dean Inglis, D.O.

• Physical Therapist in Victorville, CA
• Providers in Victorville, 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 20, 2025; 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.