Brandon Matthew Pascual, PT, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

299661 Issued in CA

Practice address

1205 W Morena Blvd Ste B
San Diego, CA 92110-3837

Phone

(818) 480-2283

NPI assigned

Mar 29, 2021

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

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.

• Project Performance Physical Therapy, Apc

  • Physical Therapy Clinic/Center
  • San Diego, CA
  • NPI 1528747482
  NPD Authorized official

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

{
    "created_epoch": "1616976000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1689552000000",
    "number": "1346828860",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7901 CIVITA BLVD # A-314",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921085139"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1205 W MORENA BLVD STE B",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921103837",
            "telephone_number": "818-480-2283"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PASCUAL",
        "first_name": "BRANDON",
        "middle_name": "MATTHEW",
        "credential": "PT, DPT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2021-03-29",
        "last_updated": "2023-07-17",
        "certification_date": "2023-07-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "299661",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "brandon@pascualperformance.com",
            "affiliation": "N",
            "address_1": "7901 Civita Blvd # A-314",
            "city": "San Diego",
            "state": "CA",
            "country_code": "US",
            "postal_code": "921085139",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Christine Joy Agapito Pascua, PHARM.D
• Gary Vaughn Pascua, DDS
• Katrina Elane Pascua, BSN, RN
• Shelby Ann Pascua, PHARM D
• Christy N Pascual-Smith, PSY.D.
• Edna Oconer Pascual, LVN
• Joseph Pascual, PTA
• Serenity Arroyo Pascual, NP
• Vanessa Anne Pascual
• Timothy Pasek, M.D.

• Physical Therapist in San Diego, CA
• Providers in San Diego, 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 17, 2023; 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.