Active NPI
Christopher David, DPT, PT
- Orthopedic Physical Therapist
- Laguna Hills, CA
National Provider Identifier
1417340258
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthopedic Physical Therapist
- License
- 42170
- Practice address
- 22995 Mill Creek Dr
Suite a
Laguna Hills, CA 92653-1215 - Phone
- (949) 707-5555
- NPI assigned
- Mar 17, 2015
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Orthopedic Physical Therapist | 2251X0800X | 42170 | CA | Primary |
Addresses
Primary practice location
22995 Mill Creek Dr
Suite a
Laguna Hills, CA 92653-1215
Mailing address
22995 Mill Creek Dr
Suite a
Laguna Hills, CA 92653-1215
Phone (949) 707-5555
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- HHS exclusion list flag
- Flagged The directory lists this NPI on an HHS exclusion list.
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 42170 | CA | MD | Community/Behavioral Health Agency |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Bechtel Physical Therapy Inc | Orthopedic | Current | Accepting new patients |
| Rehab Alliance | Orthopedic | Past | Accepting new patients |
| Sand Coast Rehab Physical Therapy Inc | Orthopedic | Past | Accepting new patients |
Locations
15250 Ventura Blvd
Ste 300
Sherman Oaks, CA 91403
Phone (818) 990-0267
Organizations & group practices 4
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 Therapist
- Los Angeles, CA
- NPI 1457875494
-
- Orthopedic Physical Therapist
- Sherman Oaks, CA
- NPI 1447953674
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1426550400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1426550400000",
"number": "1417340258",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "22995 MILL CREEK DR",
"address_2": "SUITE A",
"city": "LAGUNA HILLS",
"state": "CA",
"postal_code": "926531215",
"telephone_number": "949-707-5555"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "22995 MILL CREEK DR",
"address_2": "SUITE A",
"city": "LAGUNA HILLS",
"state": "CA",
"postal_code": "926531215",
"telephone_number": "949-707-5555"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DAVID",
"first_name": "CHRISTOPHER",
"credential": "DPT, PT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2015-03-17",
"last_updated": "2015-03-17",
"status": "A"
},
"taxonomies": [
{
"code": "2251X0800X",
"taxonomy_group": "",
"desc": "Physical Therapist, Orthopedic",
"state": "CA",
"license": "42170",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Laguna Hills, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2015; 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.