Active NPI
Sanjay Raval
- Physical Therapist
- Torrance, CA
National Provider Identifier
1366079295
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 298221
- Practice address
- 3244 Sepulveda Blvd
Torrance, CA 90505-2719 - Phone
- (310) 539-8800
- NPI assigned
- Mar 23, 2020
- 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 | 298221 | CA | Primary |
Addresses
Primary practice location
3244 Sepulveda Blvd
Torrance, CA 90505-2719
Mailing address
3244 Sepulveda Blvd
Torrance, CA 90505-2719
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Other URL | Raintree | Direct |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20251121000725 | CA | Practitioner - Physical Therapist in Private Practice | 8527550128 | Reassigns benefits to 1 organization |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 298221 | CA | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Adi Rehab, Incorporated | Physical Therapist | Current | Accepting new patients |
| Rehab Specialists, Inc | Physical Therapist | Current | Accepting new patients |
Locations
2730 Wilshire Blvd
Ste 533
Santa Monica, CA 90403
Phone (310) 273-0870
10635 Santa Monica Blvd
Ste 165
West Los Angeles, CA 90025
Phone 3102730877143
Organizations & group practices 2
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.
-
- Physical Therapist
- Los Angeles, CA
- NPI 1104850197
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2019
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Rehab Specialists Inc
Practice addresses (Care Compare)
10635 Santa Monica Blvd
Suite 165
Los Angeles, CA 90025-8306
Phone (310) 273-0877
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1584921600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1584921600000",
"number": "1366079295",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3244 SEPULVEDA BLVD",
"city": "TORRANCE",
"state": "CA",
"postal_code": "905052719"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3244 SEPULVEDA BLVD",
"city": "TORRANCE",
"state": "CA",
"postal_code": "905052719",
"telephone_number": "310-539-8800"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RAVAL",
"first_name": "SANJAY",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2020-03-23",
"last_updated": "2020-03-23",
"certification_date": "2020-03-23",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "CA",
"license": "298221",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "OTHERS",
"endpointTypeDescription": "Other URL",
"endpoint": "Raintree",
"affiliation": "N",
"use": "DIRECT",
"useDescription": "Direct",
"address_1": "3244 Sepulveda Blvd",
"city": "Torrance",
"state": "CA",
"country_code": "US",
"postal_code": "905052719",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Torrance, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 23, 2020; 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.