Individual provider Active NPI

Teresa Del Real Delfin, DPT

  • Physical Therapist
  • Laguna Niguel, CA
National Provider Identifier
1386277143
Registry record updated Apr 26, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
298039 Issued in CA
Practice address
31271 Niguel Rd Ste J
Laguna Niguel, CA 92677-4135
Phone
(949) 443-5442
Fax
(949) 443-5463
NPI assigned
Feb 19, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 26, 2022

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 298039 CA Primary

Addresses

Primary practice location

31271 Niguel Rd Ste J
Laguna Niguel, CA 92677-4135

Mailing address

PO Box 7840
Laguna Niguel, CA 92607-7840
Phone (949) 443-5442

Electronic endpoints 1

TypeEndpointUseAffiliation
SOAP URL https://careepicwest.kp.org:14430/Interconnect-prodcalgateway/wcf/epic.community.hie/xcpdrespondinggatewaysync.svc/scalceq Health Information Exchange (HIE) Southern California Permanente Medical Group

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200311001914 CA Practitioner - Physical Therapist in Private Practice 1951739655 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Marina Sports Physical Therapy P CGroup PAC ID 0143579458, 4 clinicians

Practice addresses (Care Compare)

28382 S Western Ave
Rancho Palos Verdes, CA 90275-1434
Phone (310) 526-8599

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
298039CAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Southern California Permanente Medical Group CurrentSince Apr 30, 2022 Accepting new patients
Southern California Permanente Medical Group Current Accepting new patients
Deborah Weinstein Physical Therapy Physical Therapist CurrentSince Aug 9, 2021 Accepting new patients
Southern California Permanente Medical Group CurrentSince Apr 30, 2022 Accepting new patients
Marina Sports Physical Therapy P C Physical Therapist CurrentSince Feb 25, 2025 Accepting new patients
Elite Physical Therapy and Wellness, Inc. Physical Therapist PastSince Mar 7, 2021 Accepting new patients

Locations

9333 Rosecrans Ave
Bellflower, CA 90706
Phone (562) 461-3340

9400 Rosecrans Ave
Bellflower, CA 90706
Phone (562) 461-6064

9333 Imperial Hwy
Downey, CA 90242
Phone (562) 657-8850

31271 Niguel Rd
Ste J
Laguna Niguel, CA 92677
Phone (949) 370-4061

393 E Walnut St
Unit 3RD
Pasadena, CA 91188
Phone (626) 405-7914

28382 S Western Ave
Rancho Palos Verdes, CA 90275
Phone (310) 526-8599

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.

NPI Registry JSON

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

{
    "created_epoch": "1582070400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1650931200000",
    "number": "1386277143",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 7840",
            "city": "LAGUNA NIGUEL",
            "state": "CA",
            "postal_code": "926077840",
            "telephone_number": "949-443-5442",
            "fax_number": "949-443-5463"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "31271 NIGUEL RD STE J",
            "city": "LAGUNA NIGUEL",
            "state": "CA",
            "postal_code": "926774135",
            "telephone_number": "949-443-5442",
            "fax_number": "949-443-5463"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEL REAL DELFIN",
        "first_name": "TERESA",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-02-19",
        "last_updated": "2022-04-26",
        "certification_date": "2022-01-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "298039",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "SOAP",
            "endpointTypeDescription": "SOAP URL",
            "endpoint": "https://careepicwest.kp.org:14430/Interconnect-prodcalgateway/wcf/epic.community.hie/xcpdrespondinggatewaysync.svc/scalceq",
            "affiliation": "Y",
            "endpointDescription": "Carequality",
            "affiliationName": "Southern California Permanente Medical Group",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "C-CDA",
            "address_1": "9333 Imperial Hwy",
            "city": "Downey",
            "state": "CA",
            "country_code": "US",
            "postal_code": "902422812",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Laguna Niguel, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 26, 2022; 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.