Individual provider Active NPI

Rebecca Angelina Sandoval, DPT

  • Physical Therapist
  • Temecula, CA
National Provider Identifier
1336687367
Registry record updated Oct 27, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
292783 Issued in CA
Practice address
44274 George Cushman CT Ste 211
Temecula, CA 92592-5945
Phone
(951) 696-1838
NPI assigned
Feb 9, 2017
Last updated
Oct 27, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 27, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 292783 CA Primary

Addresses

Primary practice location

44274 George Cushman CT Ste 211
Temecula, CA 92592-5945

Mailing address

331 Basetdale Ave
La Puente, CA 91746-2231
Phone (626) 437-4475

Other names 1

  • Rebecca Angelina Ponce Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20170316001327 CA Practitioner - Physical Therapist in Private Practice 6800171752 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Chief Physical Therapy IncGroup PAC ID 8820359680, 3 clinicians

Practice addresses (Care Compare)

43950 Margarita Rd
Suite D
Temecula, CA 92592-2732
Phone (951) 696-1838

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
292783CAMDLicensed Vocational Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Algos Inc., a Medical Corporation Physical Therapist CurrentSince Feb 6, 2017 Accepting new patients
California Rehabilitation & Sports Therapy a California Physical Ther Physical Therapist Current Accepting new patients
Chief Physical Therapy, Inc. Physical Therapist CurrentSince Jul 1, 2023 Accepting new patients
Algos Inc., a Medical Corporation Physical Therapist Current Accepting new patients
California Rehab & Sports Therapy CurrentSince Apr 1, 2023 Accepting new patients
Algos Inc., a Medical Corporation Physical Therapist CurrentSince Feb 6, 2017 Accepting new patients
California Rehabilitation and Sports Therapy a California Physical Ther CurrentSince Apr 1, 2023 Accepting new patients
Algos Inc., a Medical Corporation Physical Therapist Past Accepting new patients

Locations

830 S Citrus Ave
Ste 201
Azusa, CA 91702
Phone (626) 974-1441

44501 16th St W
Ste 107
Lancaster, CA 93534
Phone (661) 974-7033

1017 S Fair Oaks Ave
Pasadena, CA 91105
Phone (626) 403-6200

43950 Margarita Rd
Ste D
Temecula, CA 92592
Phone (951) 696-1838

19000 Hawthorne Blvd
Ste 300
Torrance, CA 90503
Phone (310) 793-1800

25176 Rye Canyon Rd
Valencia, CA 91355
Phone (661) 288-0300

Organizations & group practices 8

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.

NPI Registry JSON

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

{
    "created_epoch": "1486598400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1698364800000",
    "number": "1336687367",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "331 BASETDALE AVE",
            "city": "LA PUENTE",
            "state": "CA",
            "postal_code": "917462231",
            "telephone_number": "626-437-4475"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "44274 GEORGE CUSHMAN CT STE 211",
            "city": "TEMECULA",
            "state": "CA",
            "postal_code": "925925945",
            "telephone_number": "951-696-1838"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SANDOVAL",
        "first_name": "REBECCA",
        "middle_name": "ANGELINA",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-02-09",
        "last_updated": "2023-10-27",
        "certification_date": "2023-10-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "292783",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "REBECCA",
            "last_name": "PONCE",
            "middle_name": "ANGELINA",
            "credential": "DPT",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Temecula, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 27, 2023; 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.

Verify at the official NPI Registry.