Active NPI
Victoria Wostenberg, D.P.T.
- Physical Therapist
- Newport Beach, CA
National Provider Identifier
1467786103
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 35996
- Practice address
- 1525 Superior Ave
Suite 212
Newport Beach, CA 92663-3639 - Phone
- (949) 650-1410
- NPI assigned
- Sep 29, 2009
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 35996 | CA | Primary |
Addresses
Primary practice location
1525 Superior Ave
Suite 212
Newport Beach, CA 92663-3639
Mailing address
4290 Livermore PL
Cypress, CA 90630-2731
Phone (714) 952-4742
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
| License | State | Type | Specialty |
|---|---|---|---|
| 35996 | CA | MD | Optometrist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1254182400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1254182400000",
"number": "1467786103",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4290 LIVERMORE PL",
"city": "CYPRESS",
"state": "CA",
"postal_code": "906302731",
"telephone_number": "714-952-4742"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1525 SUPERIOR AVE",
"address_2": "SUITE 212",
"city": "NEWPORT BEACH",
"state": "CA",
"postal_code": "926633639",
"telephone_number": "949-650-1410"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WOSTENBERG",
"first_name": "VICTORIA",
"credential": "D.P.T.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2009-09-29",
"last_updated": "2009-09-29",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "CA",
"license": "35996",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Newport Beach, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 29, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.