Individual provider Active NPI

Christopher D Giudicelli, DPT

  • Physical Therapist
  • San Diego, CA
National Provider Identifier
1396069266
Registry record updated Apr 29, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT 36624 Issued in CA
Practice address
3959 Ruffin Rd
Ste F
San Diego, CA 92123-1830
Phone
(858) 279-5570
Fax
(858) 279-5303
NPI assigned
Mar 22, 2010
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 29, 2016

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 PT 36624 CA Primary

Addresses

Primary practice location

3959 Ruffin Rd
Ste F
San Diego, CA 92123-1830

Mailing address

3959 Ruffin Rd
Ste J
San Diego, CA 92123-1830
Phone (858) 279-5570

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110609000297 CA Practitioner - Physical Therapist in Private Practice 1052598513 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
California Luna Care Physical Therapy PCGroup PAC ID 9638427834, 769 clinicians

Practice addresses (Care Compare)

16185 Los Gatos Blvd
Suite 205
Los Gatos, CA 95032-4569
Phone (866) 525-3175

3959 Ruffin Rd
Suite J
San Diego, CA 92123-1830
Phone (858) 279-5570

Merit-based Incentive Payment System (MIPS)

Final score
75.23 of 100Reported as individual
Quality
70.86
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PT 36624CAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Rehab United Sports Medicine & Physical Therapy, Inc. CurrentSince May 10, 2010 Accepting new patients
California Luna Care Physical Therapy PC Physical Therapist CurrentSince Jan 23, 2025 Accepting new patients
Rehab United Sports Medicine & Physical Therapy, Inc. Physical Therapist CurrentSince May 10, 2010 Accepting new patients

Locations

335 E Pennsylvania Ave
Escondido, CA 92025
Phone (760) 294-6100

8491 Fletcher Pkwy
La Mesa, CA 91942
Phone (619) 333-0733

16185 Los Gatos Blvd
Ste 205
Los Gatos, CA 95032
Phone (408) 459-8108

3323 Carmel Mountain Rd
Ste 200
San Diego, CA 92121
Phone (858) 720-0991

3959 Ruffin Rd
Ste J
San Diego, CA 92123
Phone (858) 279-5570

3959 Ruffin Rd
Ste F
San Diego, CA 92123
Phone (858) 279-5570

Organizations & group practices 3

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": "1269216000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1461888000000",
    "number": "1396069266",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3959 RUFFIN RD",
            "address_2": "STE J",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921231830",
            "telephone_number": "858-279-5570",
            "fax_number": "858-279-5303"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3959 RUFFIN RD",
            "address_2": "STE F",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921231830",
            "telephone_number": "858-279-5570",
            "fax_number": "858-279-5303"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GIUDICELLI",
        "first_name": "CHRISTOPHER",
        "middle_name": "D",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-03-22",
        "last_updated": "2016-04-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "PT 36624",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Diego, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 29, 2016; 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.