Active NPI
Latonya Dominique Bridgette
- Rehabilitation Practitioner
- Torrance, CA
National Provider Identifier
1447446919
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Rehabilitation Practitioner
- Practice address
- 370 Crenshaw Blvd Ste E100
Torrance, CA 90503-1728 - Phone
- (310) 787-1500
- Fax
- (310) 787-9713
- NPI assigned
- Sep 19, 2007
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Rehabilitation Practitioner | 225400000X | Primary |
Addresses
Primary practice location
370 Crenshaw Blvd Ste E100
Torrance, CA 90503-1728
Mailing address
370 Crenshaw Blvd Ste E100
Torrance, CA 90503-1728
Phone (310) 787-1500
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1 | Medicaid | CA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1190160000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1268352000000",
"number": "1447446919",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "370 CRENSHAW BLVD STE E100",
"city": "TORRANCE",
"state": "CA",
"postal_code": "905031728",
"telephone_number": "310-787-1500",
"fax_number": "310-787-9713"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "370 CRENSHAW BLVD STE E100",
"city": "TORRANCE",
"state": "CA",
"postal_code": "905031728",
"telephone_number": "310-787-1500",
"fax_number": "310-787-9713"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BRIDGETTE",
"first_name": "LATONYA",
"middle_name": "DOMINIQUE",
"name_prefix": "Miss",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-09-19",
"last_updated": "2010-03-12",
"status": "A"
},
"taxonomies": [
{
"code": "225400000X",
"taxonomy_group": "",
"desc": "Rehabilitation Practitioner",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Torrance, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 12, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.