Charles David Jr., PTA

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

10582 Issued in CA

Practice address

5810 Downey Ave
Long Beach, CA 90805-4517

Phone

(562) 380-2178

NPI assigned

Nov 4, 2014

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1415059200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1680739200000",
    "number": "1366847212",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16701 LYNN LN APT B",
            "city": "HUNTINGTON BEACH",
            "state": "CA",
            "postal_code": "926493463",
            "telephone_number": "678-231-6011"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5810 DOWNEY AVE",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "908054517",
            "telephone_number": "562-380-2178"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAVID",
        "first_name": "CHARLES",
        "name_prefix": "Mr.",
        "name_suffix": "Jr.",
        "credential": "PTA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-11-04",
        "last_updated": "2023-04-06",
        "certification_date": "2023-04-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "CA",
            "license": "10582",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• David Q Lu MD Inc
• David Rehabilitation Incorporated
• David Smith Samuel Tchon DDS Inc
• David Younan DDS Inc.
• David Zamorano, M.D., Inc.
• Dawn Davidson
• Rita Davies, OT, CHT
• Sandra Maria Davis Hathaway, IBCLC
• Rachel Denise Davis-Berry, LVN
• Constance J Davis-Huegel

• Physical Therapy Assistant in Long Beach, CA
• Providers in Long Beach, CA by specialty
• Physical Therapy Assistant in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 6, 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.

Verify at the official NPI Registry.