Individual provider Active NPI

Gerino Cinco, P.T.

  • Physical Therapist
  • San Diego, CA
National Provider Identifier
1407805344
Registry record updated Jan 4, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT 1533 Issued in CA
Practice address
10803 Vista Sorrento Pkwy
San Diego, CA 92121-2792
Phone
(858) 452-0282
Fax
(858) 452-6837
NPI assigned
May 8, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 4, 2020

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 1533 CA Primary

Addresses

Primary practice location

10803 Vista Sorrento Pkwy
San Diego, CA 92121-2792

Mailing address

5190 Governor Dr Ste 107
San Diego, CA 92122-2848
Phone (858) 452-0282

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20060811000425 CA Practitioner - Physical Therapist in Private Practice 3274536289 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PT 1533CAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Functionsmart Physical Therapist CurrentSince Apr 1, 2008 Accepting new patients
Eggleton & Langton Physical Therapy Management Services Physical Therapist Past Accepting new patients
Eggleton & Langton Physical Therapy Management Services Physical Therapist Past Accepting new patients

Locations

5190 Governor Dr
Ste 107
San Diego, CA 92122
Phone (858) 452-0282

10803 Vista Sorrento Pkwy
San Diego, CA 92121
Phone (858) 232-1179

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": "1147046400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1578096000000",
    "number": "1407805344",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5190 GOVERNOR DR STE 107",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921222848",
            "telephone_number": "858-452-0282",
            "fax_number": "858-452-6837"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10803 VISTA SORRENTO PKWY",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921212792",
            "telephone_number": "858-452-0282",
            "fax_number": "858-452-6837"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CINCO",
        "first_name": "GERINO",
        "credential": "P.T.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-08",
        "last_updated": "2020-01-04",
        "certification_date": "2020-01-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "PT 1533",
            "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 Jan 4, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.