Maria Alice Real, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

32911 Issued in CA

Practice address

1011 Sneath LN
San Bruno, CA 94066-2311

Phone

(415) 833-2770

NPI assigned

May 8, 2007

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

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.

• Kaiser Foundation Hospitals

  dba Kaiser Foundation Hospital Ambulatory Surgery Center, Antelope Valley

  • Ambulatory Surgical Clinic/Center
  • Lancaster, CA
  • NPI 1851169965
  NPD (past)

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

{
    "created_epoch": "1178582400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1640649600000",
    "number": "1386857050",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1488 EL CAMINO REAL UNIT 306",
            "city": "SOUTH SAN FRANCISCO",
            "state": "CA",
            "postal_code": "940807546",
            "telephone_number": "415-699-3351"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1011 SNEATH LN",
            "city": "SAN BRUNO",
            "state": "CA",
            "postal_code": "940662311",
            "telephone_number": "415-833-2770"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REAL",
        "first_name": "MARIA",
        "middle_name": "ALICE",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-05-08",
        "last_updated": "2021-12-28",
        "certification_date": "2021-12-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "32911",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "SOAP",
            "endpointTypeDescription": "SOAP URL",
            "endpoint": "https://careepicwest.kp.org:14430/Interconnect-prodcalgateway/wcf/epic.community.hie/xcpdrespondinggatewaysync.svc/ncalceq",
            "affiliation": "N",
            "endpointDescription": "Carequality",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "C-CDA",
            "address_1": "1011 Sneath Ln",
            "city": "San Bruno",
            "state": "CA",
            "country_code": "US",
            "postal_code": "940662311",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Irina C Ranahan, M.S.
• Mohammad H Ranginwala, MD
• Caleb Rankin
• Lincoln Lewis Raphael
• Gerald Reader III
• Jackeline Rebuelta
• Haylie Reese
• Tyra Reeves
• Felicia Reich
• Rebecca Reinhardt Mullins

• Physical Therapist in San Bruno, CA
• Providers in San Bruno, CA by specialty
• Physical Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 28, 2021; 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.