Individual provider Active NPI

Raissa Lizzette Apolinar Carrido

  • Physical Therapist
  • Diamond Bar, CA
National Provider Identifier
1376292011
Registry record updated Jul 10, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
301614 Issued in CA
Practice address
402 S Prospectors Rd Ste I
Diamond Bar, CA 91765-1618
Phone
(909) 992-2497
NPI assigned
Mar 21, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 10, 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 301614 CA Primary

Addresses

Primary practice location

402 S Prospectors Rd Ste I
Diamond Bar, CA 91765-1618

Mailing address

402 S Prospectors Rd Ste I
Diamond Bar, CA 91765-1618

Other practice location 1

3737 Martin Luther King Jr Blvd Ste 604
Lynwood, CA 90262-3518
Phone (562) 333-3700

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

LicenseStateTypeSpecialty
301614CAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Total Education Solutions Inc Physical Therapist PastSince Mar 1, 2022 Accepting new patients

Organizations & group practices 1

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": "1647820800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1752105600000",
    "number": "1376292011",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "402 S PROSPECTORS RD STE I",
            "city": "DIAMOND BAR",
            "state": "CA",
            "postal_code": "917651618"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "402 S PROSPECTORS RD STE I",
            "city": "DIAMOND BAR",
            "state": "CA",
            "postal_code": "917651618",
            "telephone_number": "909-992-2497"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3737 Martin Luther King Jr Blvd Ste 604",
            "address_purpose": "LOCATION",
            "city": "Lynwood",
            "state": "CA",
            "postal_code": "902623518",
            "country_code": "US",
            "telephone_number": "562-333-3700",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CARRIDO",
        "first_name": "RAISSA",
        "middle_name": "LIZZETTE APOLINAR",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-03-21",
        "last_updated": "2025-07-10",
        "certification_date": "2025-07-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "301614",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Diamond Bar, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 2025; 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.