Hazel Tolentino

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

8450 Issued in CA

Practice address

12590 Juniper Ter
Santa Fe Springs, CA 90670-3897

Phone

(562) 508-4274

NPI assigned

Nov 14, 2016

Sex

Female

Sole proprietor

Yes

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

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

{
    "created_epoch": "1479081600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1479081600000",
    "number": "1427590033",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12590 JUNIPER TER",
            "city": "SANTA FE SPRINGS",
            "state": "CA",
            "postal_code": "906703897",
            "telephone_number": "562-508-4274"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12590 JUNIPER TER",
            "city": "SANTA FE SPRINGS",
            "state": "CA",
            "postal_code": "906703897",
            "telephone_number": "562-508-4274"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TOLENTINO",
        "first_name": "HAZEL",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-11-14",
        "last_updated": "2016-11-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "CA",
            "license": "8450",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PT ASSISTANT LICENSE",
            "identifier": "8450",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Lisa Marie Thomson, D.C.
• Nicole Thornton, NP
• Jacqueline Tillman, RAS
• Terrall Eugene Tillman
• Denise Yadira Toledo
• Hannah Torchio
• Eileen Torio
• Andrea Torres
• Jocelyne Torres
• Makayla Torres

• Physical Therapy Assistant in Santa Fe Springs, CA
• Providers in Santa Fe Springs, CA by specialty
• Physical Therapy Assistant in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 14, 2016; 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.