NPIMap

Organization Active NPI

Elnel, Inc. a California Corporation Total Physical Therapy

  • Physical Therapy Clinic/Center
  • Chula Vista, CA
National Provider Identifier
1386681732
Registry record updated Aug 16, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
Legal business name
ELNEL, INC. A CALIFORNIA CORPORATION TOTAL PHYSICAL THERAPY
Practice address
311 Broadway
Chula Vista, CA 91910-3501
Phone
(619) 422-0404
Fax
(619) 422-4153
NPI assigned
Jun 1, 2006
Last updated
Aug 16, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 16, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Mrs. Maryliza Jazmin Prado
Title
President/Executive Director
Phone
(619) 422-0404

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Clinic/Center 261QP2000X CA Primary

Addresses

Primary practice location

311 Broadway
Chula Vista, CA 91910-3501

Mailing address

311 Broadway
Chula Vista, CA 91910-3501
Phone (619) 422-0404

Other practice location 1

181 Jamacha Road
El Cajon, CA 92019-9201
Phone (619) 447-7774

Other practice location 2

2417 Fenton St
Chula Vista, CA 91914-3517
Phone (619) 591-7000

Other identifiers 2

IdentifierTypeStateIssuer
102092900OtherCAUSDOL
ZZZ64637ZOtherCABLUE SHIELD

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20060330000191 CA Part B Supplier - Physical/Occupational Therapy Group in Private Practice 5890703532 Receives reassigned benefits from 19 practitioners
Practice locations: Chula Vista, CA; El Cajon, CA

National Provider Directory

National Provider Directory

Locations

2417 Fenton St
Chula Vista, CA 91914
Phone (619) 379-0325

2417 Fenton St
Ste A
Chula Vista, CA 91914
Phone (619) 422-0404

311 Broadway
Chula Vista, CA 91910
Phone (619) 422-0404

320 Broadway
Ste B
Chula Vista, CA 91910
Phone (619) 422-0404

1246 E Main St
Ste 109
El Cajon, CA 92021
Phone (619) 441-1200

1291 E Main St
Ste 100
El Cajon, CA 92021
Phone (619) 447-7774

181 Jamacha Rd
El Cajon, CA 92019
Phone (619) 447-7774

833 Broadway
Ste 100
El Cajon, CA 92021
Phone (619) 447-7774

40680 California Oaks Rd
Ste 2A
Murrieta, CA 92562
Phone (951) 894-4800

Practitioners & affiliated clinicians

Practitioners 29

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 29

NPI Registry JSON

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

{
    "created_epoch": "1149120000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1692144000000",
    "number": "1386681732",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "311 BROADWAY",
            "city": "CHULA VISTA",
            "state": "CA",
            "postal_code": "919103501",
            "telephone_number": "619-422-0404",
            "fax_number": "619-422-4153"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "311 BROADWAY",
            "city": "CHULA VISTA",
            "state": "CA",
            "postal_code": "919103501",
            "telephone_number": "619-422-0404",
            "fax_number": "619-422-4153"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "181 Jamacha Road",
            "address_purpose": "LOCATION",
            "city": "El Cajon",
            "state": "CA",
            "postal_code": "920199201",
            "country_code": "US",
            "telephone_number": "619-447-7774",
            "fax_number": "619-447-7779",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2417 Fenton St",
            "address_purpose": "LOCATION",
            "city": "Chula Vista",
            "state": "CA",
            "postal_code": "919143517",
            "country_code": "US",
            "telephone_number": "619-591-7000",
            "fax_number": "619-591-7049",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "ELNEL, INC. A CALIFORNIA CORPORATION TOTAL PHYSICAL THERAPY",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-01",
        "last_updated": "2023-08-16",
        "certification_date": "2023-08-16",
        "status": "A",
        "authorized_official_last_name": "PRADO",
        "authorized_official_first_name": "MARYLIZA",
        "authorized_official_middle_name": "JAZMIN",
        "authorized_official_title_or_position": "PRESIDENT/EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "619-422-0404",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "CA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "USDOL",
            "identifier": "102092900",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD",
            "identifier": "ZZZ64637Z",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Chula Vista, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 16, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.