David Raymond Pace, DAVID PACE, PT

Primary specialty

Orthopedic Physical TherapistTaxonomy code 2251X0800X

License

14929 Issued in CA

Practice address

231 Avenida Monterey Apt 11
San Clemente, CA 92672-4183

Phone

(831) 246-0415

NPI assigned

Sep 16, 2009

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Mr. David Pace Professional name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1253059200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1253059200000",
    "number": "1336472703",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "231 AVENIDA MONTEREY APT 11",
            "city": "SAN CLEMENTE",
            "state": "CA",
            "postal_code": "926724183",
            "telephone_number": "831-246-0415"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "231 AVENIDA MONTEREY APT 11",
            "city": "SAN CLEMENTE",
            "state": "CA",
            "postal_code": "926724183",
            "telephone_number": "831-246-0415"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PACE",
        "first_name": "DAVID",
        "middle_name": "RAYMOND",
        "name_prefix": "Mr.",
        "credential": "DAVID PACE, PT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-09-16",
        "last_updated": "2009-09-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2251X0800X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Orthopedic",
            "state": "CA",
            "license": "14929",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "DAVID",
            "last_name": "PACE",
            "prefix": "MR.",
            "credential": "DAVID PACE, PT",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

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• Orthopedic Physical Therapist in San Clemente, CA
• Providers in San Clemente, CA by specialty
• Orthopedic Physical Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 16, 2009; 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.