Cesar Benedict Fajardo, D.P.T.

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT 32157 Issued in CA

Practice address

3662 Katella Ave
Suite 105
Los Alamitos, CA 90720-3124

Phone

(562) 799-4494

Fax

(562) 280-0304

NPI assigned

Aug 5, 2006

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

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• CPRX, Incorporated

  • Physical Therapist
  • Los Alamitos, CA
  • NPI 1184714883
  Medicare reassignment NPD
• Body Awareness Physical Therapy, Inc

  • Physical Therapist
  • Costa Mesa, CA
  • NPI 1164439915
  NPD (past)

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

{
    "created_epoch": "1154736000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1469664000000",
    "number": "1346259769",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5140 E CARITA ST",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "908082556",
            "telephone_number": "626-340-9200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3662 KATELLA AVE",
            "address_2": "SUITE 105",
            "city": "LOS ALAMITOS",
            "state": "CA",
            "postal_code": "907203124",
            "telephone_number": "562-799-4494",
            "fax_number": "562-280-0304"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FAJARDO",
        "first_name": "CESAR",
        "middle_name": "BENEDICT",
        "name_prefix": "Dr.",
        "credential": "D.P.T.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-05",
        "last_updated": "2016-07-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "PT 32157",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Crystal Rachael Everett
• Donna Marie Ewing
• Excellence Home Health Provider Inc
• Expertise Home Care Referral Agency
• F E Luzano MD Inc
• Family Choice Pediatrics Inc
• Farbod Esmailian, M.D., Inc.
• Sasha Vukcevich Faynor
• Fe Surgery Center Inc.
• Feiwell Medical Evaluations

• Physical Therapist in Los Alamitos, CA
• Providers in Los Alamitos, CA by specialty
• Physical Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 28, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.