Sofia Natalia Vizcarra, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT302230 Issued in CA

Practice address

1620 E Second St Ste Iandj
Beaumont, CA 92223-3171

Phone

(951) 370-1325

Fax

(951) 684-2980

NPI assigned

Jul 15, 2022

Sex

Female

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

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2021

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

New Life Physical Therapy Services PCGroup PAC ID 7214207125, 94 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.

• New Life Physical Therapy Services, PC

  • Physical Therapist
  • Beverly Hills, CA
  • NPI 1285160788
  Medicare reassignment Care Compare group NPD
• Physio Kai Sports Performance & Physical Therapy

  • Physical Therapist
  • Riverside, CA
  • NPI 1982395968
  NPD Authorized official
• Total Wellness Inc

  • Physical Therapist
  • Riverside, CA
  • NPI 1043304942
  NPD (past)

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

{
    "created_epoch": "1657843200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1657843200000",
    "number": "1477287258",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3191 MISSION INN AVE STE B",
            "city": "RIVERSIDE",
            "state": "CA",
            "postal_code": "925074188",
            "telephone_number": "951-684-2874",
            "fax_number": "951-684-2980"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1620 E SECOND ST STE IANDJ",
            "city": "BEAUMONT",
            "state": "CA",
            "postal_code": "922233171",
            "telephone_number": "951-370-1325",
            "fax_number": "951-684-2980"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3191 Mission Inn Ave Ste B",
            "address_purpose": "LOCATION",
            "city": "Riverside",
            "state": "CA",
            "postal_code": "925074188",
            "country_code": "US",
            "telephone_number": "951-684-2874",
            "fax_number": "951-684-2980",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "VIZCARRA",
        "first_name": "SOFIA",
        "middle_name": "NATALIA",
        "name_prefix": "Dr.",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-07-15",
        "last_updated": "2022-07-15",
        "certification_date": "2022-07-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "PT302230",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Carrie Vasquez Munoz
• Sherry Vaughan, LAC
• Sarai Velasquez, LPCC
• Vine Care Center Inc
• Vista Guidance Centers, Inc.
• Duc Peter Vo
• Khoa Vo
• Elizabeth Kaehla Waissman, LCSW
• Ruth N Waithaka
• Wal-Mart Stores, Inc.

• Physical Therapist in Beaumont, CA
• Providers in Beaumont, CA by specialty
• Physical Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 15, 2022; 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.