Individual provider Active NPI

Virgo Bagalso

  • Physical Therapist
  • Milpitas, CA
National Provider Identifier
1396638367
Registry record updated May 30, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
36757 Issued in CA
Practice address
755 E Capitol Ave Apt P205
Milpitas, CA 95035-8834
Phone
(408) 931-3118
NPI assigned
May 30, 2025
Last updated
May 30, 2025By the provider in NPPES
Sex
Unspecified or another gender identity
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 30, 2025

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 36757 CA Primary

Addresses

Primary practice location

755 E Capitol Ave Apt P205
Milpitas, CA 95035-8834

Mailing address

755 E Capitol Ave Apt P205
Milpitas, CA 95035-8834

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

LicenseStateTypeSpecialty
36757CAMDPharmacist

NPI Registry JSON

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

{
    "created_epoch": "1748563200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1748563200000",
    "number": "1396638367",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "755 E CAPITOL AVE APT P205",
            "city": "MILPITAS",
            "state": "CA",
            "postal_code": "950358834"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "755 E CAPITOL AVE APT P205",
            "city": "MILPITAS",
            "state": "CA",
            "postal_code": "950358834",
            "telephone_number": "408-931-3118"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BAGALSO",
        "first_name": "VIRGO",
        "sole_proprietor": "YES",
        "sex": "X",
        "enumeration_date": "2025-05-30",
        "last_updated": "2025-05-30",
        "certification_date": "2025-05-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "36757",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Milpitas, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 30, 2025; 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.