Active NPI
Yogi S Matharu, D.P.T.
- Orthopedic Physical Therapist
- Los Angeles, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthopedic Physical Therapist
- License
- PT23615
- Practice address
- 1640 Marengo St
Hra-102
Los Angeles, CA 90033-1036 - Phone
- (323) 224-7070
- Fax
- (323) 224-5359
- NPI assigned
- Feb 5, 2007
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Orthopedic Physical Therapist | 2251X0800X | PT23615 | CA | Primary |
Addresses
Primary practice location
1640 Marengo St
Hra-102
Los Angeles, CA 90033-1036
Mailing address
1640 Marengo St
Hra-102
Los Angeles, CA 90033-1036
Phone (323) 224-7070
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| PT23615 | Other | CA | BLUE SHIELD |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 1998
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1441 Eastlake Ave
Suite 5409
Los Angeles, CA 90033-1036
Phone (323) 865-0563
1520 San Pablo St
Los Angeles, CA 90033-5310
Phone (800) 872-2273
1520 San Pablo St 1St Floor N
Los Angeles, CA 90033-5310
Phone (800) 872-2273
1640 Marengo St
Los Angeles, CA 90033-1036
Phone (323) 223-4091
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PT23615 | CA | MD | Orthopedic Physical Therapist |
| 23615 | CA | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Usc Care Medical Group, Inc | Current | Accepting new patients | |
| Usc Care Medical Group, Inc | Current | Accepting new patients |
Locations
1520 San Pablo St
Los Angeles, CA 90033
Phone (323) 442-5849
1640 Marengo St
Ste 102
Los Angeles, CA 90033
Phone (323) 224-7070
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.
-
- General Practice Physician
- Los Angeles, CA
- NPI 1902846306
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- Durable Medical Equipment & Medical Supplies
- Pasadena, CA
- NPI 1427937390
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1170633600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1467591586",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1640 MARENGO ST",
"address_2": "HRA-102",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900331036",
"telephone_number": "323-224-7070",
"fax_number": "323-224-5359"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1640 MARENGO ST",
"address_2": "HRA-102",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900331036",
"telephone_number": "323-224-7070",
"fax_number": "323-224-5359"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MATHARU",
"first_name": "YOGI",
"middle_name": "S",
"credential": "D.P.T.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-02-05",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "2251X0800X",
"taxonomy_group": "",
"desc": "Physical Therapist, Orthopedic",
"state": "CA",
"license": "PT23615",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE SHIELD",
"identifier": "PT23615",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Los Angeles, 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.
- 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.