Individual provider Active NPI

Bojil Petrov Shterev, PTA

  • Physical Therapy Assistant
  • Huntington Beach, CA
National Provider Identifier
1487858254
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy AssistantTaxonomy code 225200000X
License
6516 Issued in CA
Practice address
6100 Edinger Ave Apt 129
Huntington Beach, CA 92647-3288
Phone
(714) 377-5624
NPI assigned
Jun 13, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Assistant 225200000X 6516 CA Primary

Addresses

Primary practice location

6100 Edinger Ave Apt 129
Huntington Beach, CA 92647-3288

Mailing address

6100 Edinger Ave Apt 129
Huntington Beach, CA 92647-3288
Phone (714) 377-5624

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

NPI Registry JSON

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

{
    "created_epoch": "1181692800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1487858254",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6100 EDINGER AVE APT 129",
            "city": "HUNTINGTON BEACH",
            "state": "CA",
            "postal_code": "926473288",
            "telephone_number": "714-377-5624"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6100 EDINGER AVE APT 129",
            "city": "HUNTINGTON BEACH",
            "state": "CA",
            "postal_code": "926473288",
            "telephone_number": "714-377-5624"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHTEREV",
        "first_name": "BOJIL",
        "middle_name": "PETROV",
        "credential": "PTA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-06-13",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "CA",
            "license": "6516",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Huntington Beach, 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.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.