Nancy Anne Foster, PTA

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

PTA6679 Issued in CA

Practice address

13800 Heacock St Ste C136
Moreno Valley, CA 92553-3363

Phone

(951) 656-6009

NPI assigned

Dec 11, 2019

Last updated

Mar 2, 2020By the provider in NPPES

Sex

Female

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

• Nancy Anne Blackman Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Central Occupational Medicine Providers - Ontario, a Medical Corporati

  • Occupational Medicine Clinic/Center
  • Moreno Valley, CA
  • NPI 1104184860
  NPD (past)
• Central Occupational Medicine Providers - Ontario, a Medical Corporati

  • Occupational Medicine Clinic/Center
  • Corona, CA
  • NPI 1295093953
  NPD (past)
• Central Occupational Medicine Providers - Ontario, a Medical Corporati

  • Occupational Medicine Clinic/Center
  • Ontario, CA
  • NPI 1669730321
  NPD (past)
• Central Occupational Medicine Providers Ontario Inc

  • Occupational Medicine Clinic/Center
  • Riverside, CA
  • NPI 1972861797
  NPD (past)

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

{
    "created_epoch": "1576022400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1583107200000",
    "number": "1336787241",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4300 CENTRAL AVE",
            "city": "RIVERSIDE",
            "state": "CA",
            "postal_code": "925062918",
            "telephone_number": "951-222-2206"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13800 HEACOCK ST STE C136",
            "city": "MORENO VALLEY",
            "state": "CA",
            "postal_code": "925533363",
            "telephone_number": "951-656-6009"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1690 W 6th St Ste K",
            "address_purpose": "LOCATION",
            "city": "Corona",
            "state": "CA",
            "postal_code": "928822910",
            "country_code": "US",
            "telephone_number": "951-736-9500",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "59 S Milliken Ave Ste 100",
            "address_purpose": "LOCATION",
            "city": "Ontario",
            "state": "CA",
            "postal_code": "917617811",
            "country_code": "US",
            "telephone_number": "909-605-8888",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "18575 Gale Ave # 1555",
            "address_purpose": "LOCATION",
            "city": "City Of Industry",
            "state": "CA",
            "postal_code": "917481340",
            "country_code": "US",
            "telephone_number": "626-581-8960",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4300 Central Ave",
            "address_purpose": "LOCATION",
            "city": "Riverside",
            "state": "CA",
            "postal_code": "925062918",
            "country_code": "US",
            "telephone_number": "951-222-2206",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "295 E Caroline St Ste D1",
            "address_purpose": "LOCATION",
            "city": "San Bernardino",
            "state": "CA",
            "postal_code": "924083740",
            "country_code": "US",
            "telephone_number": "909-723-1161",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FOSTER",
        "first_name": "NANCY",
        "middle_name": "ANNE",
        "name_prefix": "Mrs.",
        "credential": "PTA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-12-11",
        "last_updated": "2020-03-02",
        "certification_date": "2020-03-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "CA",
            "license": "PTA6679",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "NANCY",
            "last_name": "BLACKMAN",
            "middle_name": "ANNE",
            "credential": "PTA",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Foothill Grand Chateau Inc
• Lajean Avon Forbes, CNM
• Grecia Forcina
• Anjelice Foreman, RDN
• Lutherine Forks, RN
• Toni Foster
• Sharon Haiem Foulad, PA-C
• Michael David Foust
• Jonathan Brian Fox
• Ricardo Franco Reyes

• Physical Therapy Assistant in Moreno Valley, CA
• Providers in Moreno Valley, CA by specialty
• Physical Therapy Assistant in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 2, 2020; 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.