Tim Coronado, PTA

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

51706 Issued in CA

Practice address

19239 Golden Valley Rd
Santa Clarita, CA 91387-1472

Phone

(661) 250-9890

Fax

(661) 250-9228

NPI assigned

Nov 7, 2022

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

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Vargo Physical Therapy, Inc.

  • Physical Therapist
  • Santa Clarita, CA
  • NPI 1811910797
  NPD

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

{
    "created_epoch": "1667779200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1667779200000",
    "number": "1376251595",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25115 AVENUE STANFORD STE B135",
            "city": "VALENCIA",
            "state": "CA",
            "postal_code": "913551290",
            "telephone_number": "661-250-9940",
            "fax_number": "661-250-9959"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19239 GOLDEN VALLEY RD",
            "city": "SANTA CLARITA",
            "state": "CA",
            "postal_code": "913871472",
            "telephone_number": "661-250-9890",
            "fax_number": "661-250-9228"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CORONADO",
        "first_name": "TIM",
        "credential": "PTA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-11-07",
        "last_updated": "2022-11-07",
        "certification_date": "2022-11-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "CA",
            "license": "51706",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jennifer Contreras
• Christopher Cope
• Amber Noemi Cordero Castillo
• Ruby Corley
• Lizbeth Angelica Corona
• Bridgetthe Monserrathe Correa Shive, ACSW
• Concepcion Correa
• Jessica Correa
• Perla Marina Cortes
• Jessica Cortez-Nunez

• Physical Therapy Assistant in Santa Clarita, CA
• Providers in Santa Clarita, 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 Nov 7, 2022; 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.