Nobuyasu Itakura

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

299681 Issued in CA

Practice address

27722 Clinton Keith Rd Ste B
Murrieta, CA 92562-8562

Phone

(951) 790-0202

NPI assigned

Mar 1, 2021

Last updated

Mar 1, 2021By the provider in NPPES

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

Specialty

Physical Therapist in Private Practice

Education

Other, 2020

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Select San Diego Physical Therapy PCGroup PAC ID 4981088994, 58 clinicians

Practice addresses (Care Compare)

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Select San Diego Physical Therapy, PC.

  dba Select Physical Therapy

  • Physical Therapy Clinic/Center
  • San Diego, CA
  • NPI 1700516408
  Medicare reassignment Care Compare group NPD
• All Star Physical Therapy

  • Physical Therapist
  • Temecula, CA
  • NPI 1750559431
  NPD
• Elite Physical Therapy and Wellness, Inc.

  dba Elite Physical Therapy & Wellness

  • Physical Therapist
  • La Quinta, CA
  • NPI 1780702209
  NPD
• Select San Diego Physical Therapy, PC.

  dba Select Physical Therapy

  • Physical Therapy Clinic/Center
  • Santee, CA
  • NPI 1942930656

  Physical Therapist

  NPD
• Select San Diego Physical Therapy, PC.

  dba Select Physical Therapy

  • Physical Therapy Clinic/Center
  • San Diego, CA
  • NPI 1992435606

  Physical Therapist

  NPD
• Select San Diego Physical Therapy, PC.

  dba Select Physical Therapy

  • Physical Therapy Clinic/Center
  • San Diego, CA
  • NPI 1215667928
  NPD (past)
• Select San Diego Physical Therapy, PC.

  dba Select Physical Therapy

  • Physical Therapy Clinic/Center
  • San Diego, CA
  • NPI 1346970043
  NPD (past)

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

{
    "created_epoch": "1614556800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1614556800000",
    "number": "1346835493",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24630 WASHINGTON AVE STE 201",
            "city": "MURRIETA",
            "state": "CA",
            "postal_code": "925626177"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "27722 CLINTON KEITH RD STE B",
            "city": "MURRIETA",
            "state": "CA",
            "postal_code": "925628562",
            "telephone_number": "951-790-0202"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ITAKURA",
        "first_name": "NOBUYASU",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-03-01",
        "last_updated": "2021-03-01",
        "certification_date": "2021-03-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "299681",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Christopher Patrick Irish, PHARMD
• Aimee Lee Irving
• Carmelo Isales Jr., PSY.D LMFT
• Emily Isitt
• Jameelah Israel
• Stephen Mitsuru Ito, D.C.
• Heidi Colleen Ivanovich, LMT
• Antony Ivey
• Ivy Springs Medical Care Inc
• Gordon Iwasaki, PA

• Physical Therapist in Murrieta, CA
• Providers in Murrieta, CA by specialty
• Physical Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 1, 2021; 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.

Verify at the official NPI Registry.