Kristi Lavardera

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

30000 Issued in CA

Practice address

10801 Bloomfield St
Los Alamitos, CA 90720-2504

Phone

(562) 431-9511

Fax

(562) 432-3301

NPI assigned

Dec 18, 2006

Last updated

Jul 8, 2007By the provider in NPPES

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

Other identifiers 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Patty Brown Physical Therapy & Assoc PC

  • Physical Therapist
  • El Segundo, CA
  • NPI 1710252739
  NPD (past)
• Physiotherapy Associates Inc

  dba Select Physical Therapy

  • Physical Therapy Clinic/Center
  • Estero, FL
  • NPI 1720039902
  NPD (past)

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

{
    "created_epoch": "1166400000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1396808945",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10801 BLOOMFIELD ST",
            "city": "LOS ALAMITOS",
            "state": "CA",
            "postal_code": "907202504",
            "telephone_number": "562-431-9511",
            "fax_number": "562-432-3301"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10801 BLOOMFIELD ST",
            "city": "LOS ALAMITOS",
            "state": "CA",
            "postal_code": "907202504",
            "telephone_number": "562-431-9511",
            "fax_number": "562-432-3301"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LAVARDERA",
        "first_name": "KRISTI",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-12-18",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "30000",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PT LICENSE",
            "identifier": "30000",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Larry J. Diamond, D.D.S.
• Christine Larson
• Diana Lau, M.D.
• Gary Kaman Lau, M.D.
• Michael Weling Lauermann, M.D.
• Lawrence a Shapiro, M.D., Inc.
• Roberta G. Lawrence, RDHAP
• Julian Lazcano
• Klariz Lazo, FNP-BC
• LCD Inc (LCD Pharmacy)

• Physical Therapist in Los Alamitos, CA
• Providers in Los Alamitos, CA by specialty
• Physical Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.