Individual provider Active NPI

Ana Cutovic

  • Orthopedic Physical Therapist
  • Manhattan Beach, CA
National Provider Identifier
1417700584
Registry record updated Apr 9, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopedic Physical TherapistTaxonomy code 2251X0800X
License
305818 Issued in CA
Practice address
400 S Sepulveda Blvd Ste 200
Manhattan Beach, CA 90266-6876
Phone
(310) 798-6480
NPI assigned
Apr 9, 2024
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 9, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopedic Physical Therapist 2251X0800X 305818 CA Primary

Addresses

Primary practice location

400 S Sepulveda Blvd Ste 200
Manhattan Beach, CA 90266-6876

Mailing address

20335 Anza Ave Apt 26
Torrance, CA 90503-2350

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240604002449 CA Practitioner - Physical Therapist in Private Practice 9234671306 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Usc Care Medical Group IncGroup PAC ID 0446157747, 1,378 clinicians
Beach Cities Orthopedics and Sports MedicineGroup PAC ID 7517014251, 33 clinicians

Practice addresses (Care Compare)

1520 San Pablo St
Los Angeles, CA 90033-5310
Phone (800) 872-2273

1520 San Pablo St 1St Floor N
Los Angeles, CA 90033-5310
Phone (800) 872-2273

2990 Lomita Blvd
Suite B
Torrance, CA 90505-5102
Phone (310) 546-3461

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Beach Cities Orthopedics and Sports Medicine CurrentSince Apr 13, 2024 Accepting new patients
Beach Cities Orthopedics & Sports Medicine CurrentSince Apr 13, 2024 Accepting new patients

Locations

400 S Sepulveda Blvd
Ste 200
Manhattan Beach, CA 90266
Phone (310) 546-3461

2990 Lomita Blvd
#B
Torrance, CA 90505
Phone (310) 546-3461

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": "1712620800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1712620800000",
    "number": "1417700584",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20335 ANZA AVE APT 26",
            "city": "TORRANCE",
            "state": "CA",
            "postal_code": "905032350"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 S SEPULVEDA BLVD STE 200",
            "city": "MANHATTAN BEACH",
            "state": "CA",
            "postal_code": "902666876",
            "telephone_number": "310-798-6480"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CUTOVIC",
        "first_name": "ANA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-04-09",
        "last_updated": "2024-04-09",
        "certification_date": "2024-04-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2251X0800X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Orthopedic",
            "state": "CA",
            "license": "305818",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Manhattan Beach, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 9, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.