Individual provider Active NPI

Hidelisa Cathalina Manibusan, PT

  • Physical Therapist
  • San Francisco, CA
National Provider Identifier
1477650562
Registry record updated Jul 23, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
38706 Issued in CA
Practice address
1500 Owens St Ste 400
Box 0625
San Francisco, CA 94158-2335
Phone
(415) 353-7598
Fax
(415) 353-9554
NPI assigned
Sep 20, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 23, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 22607 FL
Physical Therapist 225100000X 38706 CA Primary

Addresses

Primary practice location

1500 Owens St Ste 400
Box 0625
San Francisco, CA 94158-2335

Mailing address

1500 Owens St Ste 400
Box 0625
San Francisco, CA 94158-2335
Phone (415) 353-7598

Other identifiers 2

IdentifierTypeStateIssuer
Y132VOtherFLBLUE CROSS BLUE SHIELD
000467700MedicaidFL

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250211001991 CA Practitioner - Physical Therapist in Private Practice 8628144748 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
UCSF Medical Group Business ServicesGroup PAC ID 3779497870, 1,533 clinicians

Practice addresses (Care Compare)

225 California Dr
Burlingame, CA 94010-4145
Phone (650) 341-9131

400 Parnassus Ave
San Francisco, CA 94143-2202

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
38706CAMDPhysical Therapist
22607FLMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
UCSF Medical Group Business Services CurrentSince Feb 25, 2025 Accepting new patients
UCSF Medical Group Business Services CurrentSince Feb 25, 2025 Accepting new patients
University of California San Francisco Medical Center Past Accepting new patients

Locations

225 California Dr
Burlingame, CA 94010
Phone (415) 353-2002

1500 Owens St
Ste 400
San Francisco, CA 94158
Phone (415) 353-7598

400 Parnassus Ave
#A632
San Francisco, CA 94143
Phone (415) 473-1000

Networks

  • Freedom Health HMO Network

Organizations & group practices 3

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": "1158710400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1753228800000",
    "number": "1477650562",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1500 OWENS ST STE 400",
            "address_2": "BOX 0625",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941582335",
            "telephone_number": "415-353-7598",
            "fax_number": "415-353-9554"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1500 OWENS ST STE 400",
            "address_2": "BOX 0625",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941582335",
            "telephone_number": "415-353-7598",
            "fax_number": "415-353-9554"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MANIBUSAN",
        "first_name": "HIDELISA",
        "middle_name": "CATHALINA",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-09-20",
        "last_updated": "2025-07-23",
        "certification_date": "2025-07-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "FL",
            "license": "22607",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "38706",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "Y132V",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000467700",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in San Francisco, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 23, 2025; 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.