Individual provider Active NPI

Pinky Simbajon Lituanas, PT

  • Physical Therapist
  • Rosemead, CA
National Provider Identifier
1467572719
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT32044 Issued in CA
Practice address
4242 Arica Ave
Rosemead, CA 91770-1410
Phone
(626) 290-3293
Fax
(626) 575-8933
NPI assigned
Mar 30, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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 PT32044 CA Primary

Addresses

Primary practice location

4242 Arica Ave
Rosemead, CA 91770-1410

Mailing address

4242 Arica Ave
Rosemead, CA 91770-1410
Phone (626) 290-3293

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

State licenses

LicenseStateTypeSpecialty
PT32044CAMDPhysical Therapist

NPI Registry JSON

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

{
    "created_epoch": "1175212800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1467572719",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4242 ARICA AVE",
            "city": "ROSEMEAD",
            "state": "CA",
            "postal_code": "917701410",
            "telephone_number": "626-290-3293",
            "fax_number": "626-575-8933"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4242 ARICA AVE",
            "city": "ROSEMEAD",
            "state": "CA",
            "postal_code": "917701410",
            "telephone_number": "626-290-3293",
            "fax_number": "626-575-8933"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LITUANAS",
        "first_name": "PINKY",
        "middle_name": "SIMBAJON",
        "name_prefix": "Mrs.",
        "credential": "PT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-03-30",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "PT32044",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rosemead, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.