Active NPI
Karen Vaniman, MPT
- Physical Therapist
- Temecula, CA
National Provider Identifier
1356325658
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT22974
- Practice address
- 39969 Williamsburg PL
Temecula, CA 92591-5578 - Phone
- (951) 719-3234
- NPI assigned
- Dec 1, 2005
- Sex
- Female
- 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 | PT22974 | CA | Primary |
Addresses
Primary practice location
39969 Williamsburg PL
Temecula, CA 92591-5578
Mailing address
39969 Williamsburg PL
Temecula, CA 92591-5578
Phone (951) 719-3234
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| OPT229740 | Other | CA | BLUE SHIELD |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PT22974 | CA | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1133395200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1191283200000",
"number": "1356325658",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "39969 WILLIAMSBURG PL",
"city": "TEMECULA",
"state": "CA",
"postal_code": "925915578",
"telephone_number": "951-719-3234"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "39969 WILLIAMSBURG PL",
"city": "TEMECULA",
"state": "CA",
"postal_code": "925915578",
"telephone_number": "951-719-3234"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VANIMAN",
"first_name": "KAREN",
"credential": "MPT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-12-01",
"last_updated": "2007-10-02",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "CA",
"license": "PT22974",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE SHIELD",
"identifier": "OPT229740",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Temecula, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 2, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.