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

Sex

Female

Sole proprietor

No

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• 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)

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

• Nancy Anne Blackman Former name

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Mar 2, 2020.

{
    "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": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE NUMBER",
            "identifier": "PTA6679",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "NANCY",
            "last_name": "BLACKMAN",
            "middle_name": "ANNE",
            "credential": "PTA",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

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• Grecia Forcina
• Anjelice Foreman, RDN
• Lutherine Forks, RN
• Toni Foster
• Sharon Haiem Foulad, PA-C
• Michael David Foust
• Jonathan Brian Fox
• Ricardo Franco Reyes

• All providers in Moreno Valley, CA
• 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.