Active NPI
Angela Sandra Legaspi Fernando, P.T.
- Physical Therapist
- Van Nuys, CA
National Provider Identifier
1386981066
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 36495
- Practice address
- 16042 Vose St
Van Nuys, CA 91406-4945 - Phone
- (818) 322-8509
- NPI assigned
- Jan 15, 2013
- 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 | 36495 | CA | Primary |
Addresses
Primary practice location
16042 Vose St
Van Nuys, CA 91406-4945
Mailing address
1812 W Burbank Blvd # 967
Burbank, CA 91506-1315
Phone (818) 322-8509
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
| License | State | Type | Specialty |
|---|---|---|---|
| 36495 | CA | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Capps Care Home Inc | Current | 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.
-
- Assisted Living Facility
- Northridge, CA
- NPI 1437091378
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1358208000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1663545600000",
"number": "1386981066",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1812 W BURBANK BLVD # 967",
"city": "BURBANK",
"state": "CA",
"postal_code": "915061315",
"telephone_number": "818-322-8509"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "16042 VOSE ST",
"city": "VAN NUYS",
"state": "CA",
"postal_code": "914064945",
"telephone_number": "818-322-8509"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FERNANDO",
"first_name": "ANGELA SANDRA",
"middle_name": "LEGASPI",
"credential": "P.T.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2013-01-15",
"last_updated": "2022-09-19",
"certification_date": "2022-09-19",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "CA",
"license": "36495",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Van Nuys, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 19, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.