Individual provider Active NPI

Desiree Marie Saylor Harguess, D.P.T.

  • Physical Medicine & Rehabilitation Physician
  • Chula Vista, CA
National Provider Identifier
1437658390
Registry record updated Feb 6, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X
License
PT294140 Issued in CA
Practice address
3450 Bonita Rd Ste 105
Chula Vista, CA 91910-3249
Phone
(619) 425-1084
Fax
(619) 425-1084
NPI assigned
Feb 6, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 6, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Medicine & Rehabilitation Physician 208100000X PT294140 CA Primary

Addresses

Primary practice location

3450 Bonita Rd Ste 105
Chula Vista, CA 91910-3249

Mailing address

3145 Rosecrans St Ste F
San Diego, CA 92110-4831
Phone (619) 223-7175

Other identifiers 1

IdentifierTypeStateIssuer
PT294140OtherCASTATE LICENSE

Other names 1

  • Desiree Harguess Other name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20180227002227 CA Practitioner - Physical Therapist in Private Practice 6204197684 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PT294140CAMDPhysical Medicine & Rehabilitation Physician

Practice roles

OrganizationSpecialtyStatusNew patients
California Luna Care Physical Therapy PC CurrentSince Oct 2, 2020 Accepting new patients

Locations

16185 Los Gatos Blvd
Ste 205
Los Gatos, CA 95032
Phone (408) 459-8108

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.

NPI Registry JSON

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

{
    "created_epoch": "1517875200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1517875200000",
    "number": "1437658390",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3145 ROSECRANS ST STE F",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921104831",
            "telephone_number": "619-223-7175",
            "fax_number": "619-223-7030"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3450 BONITA RD STE 105",
            "city": "CHULA VISTA",
            "state": "CA",
            "postal_code": "919103249",
            "telephone_number": "619-425-1084",
            "fax_number": "619-425-1084"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SAYLOR HARGUESS",
        "first_name": "DESIREE",
        "middle_name": "MARIE",
        "name_prefix": "Mrs.",
        "credential": "D.P.T.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-02-06",
        "last_updated": "2018-02-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "CA",
            "license": "PT294140",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "PT294140",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "DESIREE",
            "last_name": "HARGUESS",
            "credential": "D.P.T.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Chula Vista, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 6, 2018; 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.