Individual provider Active NPI

Gaspar Pascual Sebastian, DPT

  • Physical Therapist
  • Los Angeles, CA
National Provider Identifier
1346888476
Registry record updated Dec 27, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT297673 Issued in CA
Practice address
5450 W Pico Blvd Ste 202
Los Angeles, CA 90019-3997
Phone
(818) 894-2273
NPI assigned
Dec 19, 2019
Last updated
Dec 27, 2019By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 27, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X PT297673 CA Primary

Addresses

Primary practice location

5450 W Pico Blvd Ste 202
Los Angeles, CA 90019-3997

Mailing address

458 Hartford Ave Apt 308
Los Angeles, CA 90017-4012
Phone (213) 949-2489

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230614001188 CA Practitioner - Physical Therapist in Private Practice 9335507961 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PT297673CAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
All Care Physical Therapy, P.C. Physical Therapist CurrentSince Jan 26, 2023 Accepting new patients

Locations

4300 Long Beach Blvd
Ste 700
Long Beach, CA 90807

5450 W Pico Blvd
Ste 202
Los Angeles, CA 90019
Phone (214) 893-2790

8929 Aero Dr
Ste E
San Diego, CA 92123
Phone (858) 277-2277

6320 Canoga Ave
Fl 15
Woodland Hls, CA 91367
Phone (818) 588-4003

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1576713600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1577404800000",
    "number": "1346888476",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "458 HARTFORD AVE APT 308",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900174012",
            "telephone_number": "213-949-2489"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5450 W PICO BLVD STE 202",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900193997",
            "telephone_number": "818-894-2273"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SEBASTIAN",
        "first_name": "GASPAR",
        "middle_name": "PASCUAL",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-12-19",
        "last_updated": "2019-12-27",
        "certification_date": "2019-12-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "PT297673",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Los Angeles, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 27, 2019; 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.