Organization Active NPI

Bonnie Cardenas & Associates Physical Therapy

  • Physical Therapist
  • Encino, CA
National Provider Identifier
1487627485
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT6807 Issued in CA
Legal business name
BONNIE CARDENAS & ASSOCIATES PHYSICAL THERAPY
Practice address
5359 Balboa Blvd # a
Encino, CA 91316-2803
Phone
(818) 506-7821
Fax
(818) 506-6722
NPI assigned
Feb 9, 2006
Last updated
Jul 21, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Authorized official

Name
Nancy Saccio
Title
Billing Manager
Phone
(818) 528-7411

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 225100000X PT6807 CA Primary

Addresses

Primary practice location

5359 Balboa Blvd # a
Encino, CA 91316-2803

Mailing address

4924 Balboa Blvd Box #475
Encino, CA 91316-3402
Phone (818) 506-7821

Other identifiers 1

IdentifierTypeStateIssuer
ZZZ03164ZOtherCABLUE SHIELD

National Provider Directory

National Provider Directory

Locations

4444 W Riverside Dr
Ste 100
Burbank, CA 91505
Phone (818) 506-7821

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1139443200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1487627485",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4924 BALBOA BLVD BOX #475",
            "city": "ENCINO",
            "state": "CA",
            "postal_code": "913163402",
            "telephone_number": "818-506-7821",
            "fax_number": "818-506-6722"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5359 BALBOA BLVD # A",
            "city": "ENCINO",
            "state": "CA",
            "postal_code": "913162803",
            "telephone_number": "818-506-7821",
            "fax_number": "818-506-6722"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BONNIE CARDENAS & ASSOCIATES PHYSICAL THERAPY",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-02-09",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "SACCIO",
        "authorized_official_first_name": "NANCY",
        "authorized_official_title_or_position": "BILLING MANAGER",
        "authorized_official_telephone_number": "818-528-7411"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "PT6807",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD",
            "identifier": "ZZZ03164Z",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Encino, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.