Active NPI
Alan Zane, MPT
- Physical Therapist
- Redlands, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT14960
- Practice address
- 1901 W Lugonia Ave Ste 130
Redlands, CA 92374-9704 - Phone
- (909) 557-1600
- Fax
- (909) 557-1740
- NPI assigned
- Nov 27, 2006
- Sex
- Male
- 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 Therapist | 225100000X | PT14960 | CA | Primary |
Addresses
Primary practice location
1901 W Lugonia Ave Ste 130
Redlands, CA 92374-9704
Mailing address
PO Box 8520
Redlands, CA 92375-1720
Phone (909) 557-1600
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| MEDICARE PTAN | Other | CA | ZZZ29668Z |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 1996
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1901 W Lugonia Ave
Redlands, CA 92374-9703
Phone (909) 557-1600
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 14960 | CA | MD | Professional Counselor |
| PT14960 | CA | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| San Bernardino Medical Orthopaedic Group, Inc. | Physical Therapy | Current | Accepting new patients |
| San Bernardino Medical Orthopaedic Group, Inc. | Current | Accepting new patients | |
| San Bernardino Medical Orthopaedic Group, Inc. | Past | Accepting new patients |
Locations
15325 Fairfield Ranch Rd
Ste 150
Chino Hills, CA 91709
Phone (909) 557-1668
1798 N Garey Ave
Pomona, CA 91767
Phone (909) 865-9810
1901 W Lugonia Ave
Ste 120
Redlands, CA 92374
Phone (909) 557-1626
1801 Orange Tree Ln
Ste 200
Redlands, CA 92374
Phone (909) 557-1607
1901 W Lugonia Ave
Ste 240
Redlands, CA 92374
Phone (909) 557-1630
1901 W Lugonia Ave
Ste 130
Redlands, CA 92374
Phone (909) 381-1644
1901 W Lugonia Ave
Ste 310
Redlands, CA 92374
Phone (909) 793-2964
225 W Hospitality Ln
Ste 110
San Bernardino, CA 92408
Phone (909) 381-1644
Networks
- BSC 65 PLUS INDIVIDUAL MAPD
Organizations & group practices 3
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.
-
- Orthopaedic Surgery Physician
- Redlands, CA
- NPI 1336187475
Physical Therapy
-
- Orthopaedic Surgery Physician
- Beaumont, CA
- NPI 1235964537
-
- Orthopaedic Surgery Physician
- Redlands, CA
- NPI 1225239304
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1164585600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1221782400000",
"number": "1346316841",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 8520",
"city": "REDLANDS",
"state": "CA",
"postal_code": "923751720",
"telephone_number": "909-557-1600",
"fax_number": "909-557-1740"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1901 W LUGONIA AVE STE 130",
"city": "REDLANDS",
"state": "CA",
"postal_code": "923749704",
"telephone_number": "909-557-1600",
"fax_number": "909-557-1740"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ZANE",
"first_name": "ALAN",
"credential": "MPT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-11-27",
"last_updated": "2008-09-19",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "CA",
"license": "PT14960",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ZZZ29668Z",
"identifier": "MEDICARE PTAN",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Redlands, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 19, 2008; 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.