Individual provider Active NPI

Prajakta Zambare, PT, DPT

  • Physical Therapist
  • Oceanside, CA
National Provider Identifier
1457045577
Registry record updated Jun 5, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
304097 Issued in CA
Practice address
3142 Vista Way Ste 101
Oceanside, CA 92056-3627
Phone
(760) 752-1011
NPI assigned
Jun 5, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 5, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 304097 CA Primary

Addresses

Primary practice location

3142 Vista Way Ste 101
Oceanside, CA 92056-3627

Mailing address

3737 Nobel Dr Unit 2105
San Diego, CA 92122-4575
Phone (682) 330-3306

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230703002277 CA Practitioner - Physical Therapist in Private Practice 4385003706 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Advent Physical Therapy Group PCGroup PAC ID 8628208949, 3 clinicians

Practice addresses (Care Compare)

737 Pearl St
Suite 108
La Jolla, CA 92037-5063
Phone (858) 456-2114

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Advent Physical Therapy Group, PC CurrentSince Nov 10, 2023 Accepting new patients
Ability Rehabilitation Specialists Physical Therapist PastSince Nov 10, 2023 Accepting new patients

Locations

737 Pearl St
Ste 108
La Jolla, CA 92037
Phone (619) 341-0208

Organizations & group practices 2

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": "1685923200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1685923200000",
    "number": "1457045577",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3737 NOBEL DR UNIT 2105",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921224575",
            "telephone_number": "682-330-3306"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3142 VISTA WAY STE 101",
            "city": "OCEANSIDE",
            "state": "CA",
            "postal_code": "920563627",
            "telephone_number": "760-752-1011"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZAMBARE",
        "first_name": "PRAJAKTA",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-06-05",
        "last_updated": "2023-06-05",
        "certification_date": "2023-06-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "304097",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oceanside, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 5, 2023; 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.