Active NPI
William Nabong
- Specialist
- La Crescenta, CA
National Provider Identifier
1407246440
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- AT9718
- Practice address
- 3049 Montrose Ave Apt 37
La Crescenta, CA 91214-3678 - Phone
- (818) 288-0042
- NPI assigned
- Jan 29, 2015
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Specialist | 174400000X | AT9718 | CA | Primary |
Addresses
Primary practice location
3049 Montrose Ave Apt 37
La Crescenta, CA 91214-3678
Mailing address
3049 Montrose Ave Apt 37
La Crescenta, CA 91214-3678
Phone (818) 288-0042
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 |
|---|---|---|---|
| AT9718 | CA | MD | Specialist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Paraclete 38 Physical Therapy 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.
-
- Physical Therapy Clinic/Center
- West Hills, CA
- NPI 1558055921
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1422489600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1422489600000",
"number": "1407246440",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3049 MONTROSE AVE APT 37",
"city": "LA CRESCENTA",
"state": "CA",
"postal_code": "912143678",
"telephone_number": "818-288-0042"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3049 MONTROSE AVE APT 37",
"city": "LA CRESCENTA",
"state": "CA",
"postal_code": "912143678",
"telephone_number": "818-288-0042"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NABONG",
"first_name": "WILLIAM",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2015-01-29",
"last_updated": "2015-01-29",
"status": "A"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "CA",
"license": "AT9718",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in La Crescenta, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 29, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.