Active NPI
Alejandra Bedrossian
- Physical Therapy Assistant
- San Diego, CA
National Provider Identifier
1346169331
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapy Assistant
- License
- 51966
- Practice address
- 12395 El Camino Real Ste 111
San Diego, CA 92130-3083 - Phone
- (760) 879-4562
- NPI assigned
- Jul 13, 2026
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapy Assistant | 225200000X | 51966 | CA | Primary |
Addresses
Primary practice location
12395 El Camino Real Ste 111
San Diego, CA 92130-3083
Mailing address
12395 El Camino Real Ste 111
San Diego, CA 92130-3083
Phone (858) 488-3597
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Water and Sports Physical Therapy, Inc | Past | Accepting new patients | |
| Park Medical Pharmacy | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Pharmacist
- Chula Vista, CA
- NPI 1508970849
-
- Physical Therapist
- San Diego, CA
- NPI 1699840934
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1783900800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1785542400000",
"number": "1346169331",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12395 EL CAMINO REAL STE 111",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "921303083",
"telephone_number": "858-488-3597"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12395 EL CAMINO REAL STE 111",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "921303083",
"telephone_number": "760-879-4562"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BEDROSSIAN",
"first_name": "ALEJANDRA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2026-07-13",
"last_updated": "2026-08-01",
"certification_date": "2026-08-01",
"status": "A"
},
"taxonomies": [
{
"code": "225200000X",
"taxonomy_group": "",
"desc": "Physical Therapy Assistant",
"state": "CA",
"license": "51966",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in San Diego, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 1, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.