Andrew Novencido, PT, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

295915 Issued in CA

Practice address

1155 13TH St
Imperial Beach, CA 91932-3608

Phone

(619) 941-2680

NPI assigned

Jan 7, 2019

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA, OK2 enrollments

Enrollment records 2

Specialty

Physical Therapist in Private Practice

Education

Other, 2018

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

HPC Holdings LLCGroup PAC ID 6507123874, 17 clinicians

MDRS Spine and Sport IncGroup PAC ID 3274446687, 181 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• MDRS Spine & Sport, Inc

  • Multi-Specialty Clinic/Center
  • San Diego, CA
  • NPI 1952394603

  Physical Therapist

  Medicare reassignment Care Compare group NPD
• HPC Holdings LLC

  • Multi-Specialty Clinic/Center
  • Oklahoma City, OK
  • NPI 1396262234

  Physical Therapist

  Medicare reassignment Care Compare group NPD
• Performance Plus Physical Therapy, Inc.

  • Physical Therapist
  • Chula Vista, CA
  • NPI 1144766064
  Medicare reassignment NPD
• MDRS Spine & Sport, Inc

  • Physical Therapist
  • Temecula, CA
  • NPI 1689824203
  NPD
• The Chiro Office

  • Chiropractor
  • Chula Vista, CA
  • NPI 1245566959
  NPD (past)

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

{
    "created_epoch": "1546819200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1546819200000",
    "number": "1447723937",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "343 CRESTVIEW DR",
            "city": "BONITA",
            "state": "CA",
            "postal_code": "919024253",
            "telephone_number": "619-339-2974"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1155 13TH ST",
            "city": "IMPERIAL BEACH",
            "state": "CA",
            "postal_code": "919323608",
            "telephone_number": "619-941-2680"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NOVENCIDO",
        "first_name": "ANDREW",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-01-07",
        "last_updated": "2019-01-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "295915",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Chauncey L Murdock, LVN
• Dennis Nappen, D.D.S., M.S.D.
• Natural Transitions LLC
• Angelica D. Navarro, SUDRC
• Jose Fernando Navarro, PT, DPT
• Viana Nunez
• Shane S O'Brien, DEEP SEA DIVING IDC
• Jason Oh, PHARM.D.
• Leanna Marie Olivas
• Online Spech Therapy P.C.

• Physical Therapist in Imperial Beach, CA
• Providers in Imperial Beach, CA by specialty
• Physical Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 7, 2019; 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.