Active NPI
Edwin Navarro
- Physical Therapist
- Sacramento, CA
National Provider Identifier
1366820763
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 303665
- Practice address
- 2400 Del Paso Rd
Sacramento, CA 95834-9627 - Phone
- (916) 886-2941
- NPI assigned
- May 18, 2015
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| Physical Therapist | 225100000X | 303665 | CA | Primary |
Addresses
Primary practice location
2400 Del Paso Rd
Sacramento, CA 95834-9627
Mailing address
8871 Salmon Falls Dr Unit a
Sacramento, CA 95826-1942
Phone (818) 522-0549
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 |
|---|---|---|---|
| 303665 | CA | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1431907200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1675728000000",
"number": "1366820763",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8871 SALMON FALLS DR UNIT A",
"city": "SACRAMENTO",
"state": "CA",
"postal_code": "958261942",
"telephone_number": "818-522-0549"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2400 DEL PASO RD",
"city": "SACRAMENTO",
"state": "CA",
"postal_code": "958349627",
"telephone_number": "916-886-2941"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NAVARRO",
"first_name": "EDWIN",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2015-05-18",
"last_updated": "2023-02-07",
"certification_date": "2023-02-07",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "CA",
"license": "303665",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Sacramento, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 7, 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.