Individual provider Active NPI

Alexis Sepulveda, PT

  • Physical Therapist
  • San Jose, CA
National Provider Identifier
1376179184
Registry record updated Sep 8, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
298196 Issued in CA
Practice address
685 Coleman Ave
San Jose, CA 95110-2011
Phone
(408) 730-4330
NPI assigned
Mar 13, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 8, 2025

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 298196 CA Primary

Addresses

Primary practice location

685 Coleman Ave
San Jose, CA 95110-2011

Mailing address

PO Box 276950
Sacramento, CA 95827-6950

Other practice location 1

1716 W Hammer Ln
Stockton, CA 95209-2922
Phone (209) 473-2383

Other practice location 2

4343 Pacific Ave Ste B1
Stockton, CA 95207-7664
Phone (209) 425-4071

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200508002242 CA Practitioner - Physical Therapist in Private Practice 7214368117 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Sutter Bay Medical FoundationGroup PAC ID 4284538778, 3,783 clinicians

Practice addresses (Care Compare)

370 Distel Cir
Los Altos, CA 94022-1404
Phone (650) 254-5200

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Golden Bear Physical Therapy Sports Injury Center, Inc Physical Therapist CurrentSince Apr 20, 2020 Accepting new patients
CV Physical Therapy, Inc Physical Therapist CurrentSince Sep 1, 2021 Accepting new patients
Sutter Bay Medical Foundation CurrentSince Aug 18, 2025 Accepting new patients
Sutter Bay Medical Foundation CurrentSince Aug 18, 2025 Accepting new patients
Sutter Bay Medical Foundation CurrentSince Sep 14, 2025 Accepting new patients
Sutter East Bay Medical Foundation Past Accepting new patients
Gold Country Therapies, Inc PastSince Jan 1, 2015 Accepting new patients

Locations

18400 US Highway 18
Apple Valley, CA 92307
Phone (760) 810-7590

350 John Muir Pkwy
Ste 160
Brentwood, CA 94513
Phone (925) 204-1920

1950 University Ave
Ste 160
East Palo Alto, CA 94303
Phone (650) 317-8100

3200 Kearney St
Fremont, CA 94538
Phone (510) 498-2800

1189 E Herndon Ave
Ste 103
Fresno, CA 93720
Phone (559) 450-7777

370 Distel Cir
Los Altos, CA 94022
Phone (650) 254-5200

600 Coffee Rd
Modesto, CA 95355
Phone (209) 550-4755

1335 Coffee Rd
Ste 200
Modesto, CA 95355
Phone (209) 576-1946

101 Rowland Way
Ste 220
Novato, CA 94945
Phone (415) 878-7200

795 El Camino Real
Palo Alto, CA 94301
Phone (650) 324-1832

1700 Keystone Pacific Pkwy
Unit C2
Patterson, CA 95363
Phone (209) 881-9274

1555 East St
Ste 200
Redding, CA 96001
Phone (530) 229-0911

1222 W Colony Rd
Ste 130
Ripon, CA 95366
Phone (209) 624-1288

151 N Sunrise Ave
Ste 1205
Roseville, CA 95661
Phone (916) 789-1505

3838 California St
Rm 410
San Francisco, CA 94118
Phone (415) 751-1847

685 Coleman Ave
San Jose, CA 95110
Phone (408) 523-3067

123 S San Mateo Dr
San Mateo, CA 94401
Phone (650) 343-4200

3883 Airway Dr
Ste 220
Santa Rosa, CA 95403
Phone (707) 521-7750

1106 Walnut St
Ste 110
Sn Luis Obisp, CA 93401
Phone (805) 788-0805

408 Higuera St
Ste 200
Sn Luis Obisp, CA 93401

4343 Pacific Ave
Ste B1
Stockton, CA 95207
Phone (209) 425-4071

10200 Trinity Pkwy
Ste 101
Stockton, CA 95219
Phone (209) 323-3488

1906 Vista del Lago Dr
Ste A
Valley Springs, CA 95252
Phone (209) 772-0848

550 S Green Valley Rd
Watsonville, CA 95076
Phone (831) 458-5865

Organizations & group practices 7

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.

NPI Registry JSON

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

{
    "created_epoch": "1584057600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757289600000",
    "number": "1376179184",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 276950",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958276950"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "685 COLEMAN AVE",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951102011",
            "telephone_number": "408-730-4330"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1716 W Hammer Ln",
            "address_purpose": "LOCATION",
            "city": "Stockton",
            "state": "CA",
            "postal_code": "952092922",
            "country_code": "US",
            "telephone_number": "209-473-2383",
            "fax_number": "209-473-1350",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4343 Pacific Ave Ste B1",
            "address_purpose": "LOCATION",
            "city": "Stockton",
            "state": "CA",
            "postal_code": "952077664",
            "country_code": "US",
            "telephone_number": "209-425-4071",
            "fax_number": "209-451-5687",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SEPULVEDA",
        "first_name": "ALEXIS",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-03-13",
        "last_updated": "2025-09-08",
        "certification_date": "2025-09-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "298196",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Jose, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 8, 2025; 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.

Verify at the official NPI Registry.