Active NPI
Angelica Faye Valenzuela, PT
- Physical Therapist
- Daly City, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT30348
- Practice address
- 455 Hickey Blvd
Ste. 205
Daly City, CA 94015-2629 - Phone
- (650) 746-3299
- Fax
- (650) 994-1359
- NPI assigned
- Nov 1, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | PT30348 | CA | Primary |
Addresses
Primary practice location
455 Hickey Blvd
Ste. 205
Daly City, CA 94015-2629
Mailing address
455 Hickey Blvd
Ste. 205
Daly City, CA 94015-2629
Phone (650) 746-3299
Other practice location 1
68 Willow Rd
Menlo Park, CA 94025-3653
Phone (866) 839-6979
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA, WA
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2002
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
26001 Barber Cut Off Rd
Suite 1
Kingston, WA 98346-9401
Phone (360) 297-7050
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 30348 | CA | MD | Mental Health Counselor |
| PT30348 | CA | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| California Luna Care Physical Therapy PC | Physical Therapist | Current | Accepting new patients |
| Outback Physiotherapy Centre, Inc. | Physical Therapist | Current | Accepting new patients |
| Kitsap Physical Therapy and Sports Clinic PS Inc | Physical Therapist | Current | Accepting new patients |
| Kitsap Physical Therapy and Sports Clinic PS Inc | Physical Therapist | Current | Accepting new patients |
| On the Move Rehab | Physical Therapist | Current | Accepting new patients |
| West Coast Spine Restoration Center, Inc | Physical Therapist | Past | Accepting new patients |
Locations
68 Willow Rd
Menlo Park, CA 94025
Phone (650) 691-8630
2015 W Park Ave
Ste 16
Redlands, CA 92373
Phone (909) 307-9121
26001 Barber Cut Off Rd NE
Ste C1
Kingston, WA 98346
Phone (360) 297-7050
2400 NW Myhre Rd
Ste 102
Silverdale, WA 98383
Phone (360) 598-3764
2400 NW Myhre Rd
Ste 101
Silverdale, WA 98383
Phone (360) 598-3764
Organizations & group practices 6
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.
-
- Physical Therapist
- Silverdale, WA
- NPI 1912902347
-
- Physical Therapist
- Los Gatos, CA
- NPI 1689162166
-
- Physical Therapist
- Cathedral City, CA
- NPI 1356710925
-
- Physical Therapy Clinic/Center
- Redlands, CA
- NPI 1205882875
Physical Therapist
-
- Durable Medical Equipment & Medical Supplies
- Kingston, WA
- NPI 1700466083
Physical Therapist
-
- Physical Therapist
- Riverside, CA
- NPI 1992887616
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1162339200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1552435200000",
"number": "1376621946",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "455 HICKEY BLVD",
"address_2": "STE. 205",
"city": "DALY CITY",
"state": "CA",
"postal_code": "940152629",
"telephone_number": "650-746-3299",
"fax_number": "650-994-1359"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "455 HICKEY BLVD",
"address_2": "STE. 205",
"city": "DALY CITY",
"state": "CA",
"postal_code": "940152629",
"telephone_number": "650-746-3299",
"fax_number": "650-994-1359"
}
],
"practiceLocations": [
{
"address_1": "68 Willow Rd",
"address_purpose": "LOCATION",
"city": "Menlo Park",
"state": "CA",
"postal_code": "940253653",
"country_code": "US",
"telephone_number": "866-839-6979",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "VALENZUELA",
"first_name": "ANGELICA FAYE",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-11-01",
"last_updated": "2019-03-13",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "CA",
"license": "PT30348",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Daly City, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 13, 2019; 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.