NPIMap

Organization Active NPI

Ishcorp Enterprises

  • Physical Therapist
  • Huntington Beach, CA
National Provider Identifier
1497776512
Registry record updated Apr 27, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT26444 Issued in CA
Legal business name
ISHCORP ENTERPRISES
Practice address
7451 Warner Ave
Ste. a
Huntington Beach, CA 92647-5494
Phone
(714) 596-0700
Fax
(714) 596-0774
NPI assigned
Jul 22, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 27, 2018

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

Authorized official

Name
Mr. David K. Ishii, MPTNPI 1669493789
Title
Owner/Physical Therapist
Phone
(714) 596-0700

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 225100000X PT26444 CA Primary

Addresses

Primary practice location

7451 Warner Ave
Ste. a
Huntington Beach, CA 92647-5494

Mailing address

7451 Warner Ave
Ste. a
Huntington Beach, CA 92647-5494
Phone (714) 596-0700

Other identifiers 1

IdentifierTypeStateIssuer
ZZZ64802ZOtherCABLUE SHIELD

Other names 1

  • Synergy Physical Therapy Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20050614000427 CA Part B Supplier - Physical/Occupational Therapy Group in Private Practice 7214971993 Receives reassigned benefits from 7 practitioners
Practice locations: Huntington Beach, CA

National Provider Directory

National Provider Directory

Locations

7451 Warner Ave
Ste A
Huntington Beach, CA 92647
Phone (714) 593-0700

Practitioners & affiliated clinicians

Practitioners 12

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1153526400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1524787200000",
    "number": "1497776512",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7451 WARNER AVE",
            "address_2": "STE. A",
            "city": "HUNTINGTON BEACH",
            "state": "CA",
            "postal_code": "926475494",
            "telephone_number": "714-596-0700",
            "fax_number": "714-596-0774"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7451 WARNER AVE",
            "address_2": "STE. A",
            "city": "HUNTINGTON BEACH",
            "state": "CA",
            "postal_code": "926475494",
            "telephone_number": "714-596-0700",
            "fax_number": "714-596-0774"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ISHCORP ENTERPRISES",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-22",
        "last_updated": "2018-04-27",
        "status": "A",
        "authorized_official_last_name": "ISHII",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "K.",
        "authorized_official_title_or_position": "OWNER/PHYSICAL THERAPIST",
        "authorized_official_telephone_number": "714-596-0700",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MPT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "PT26444",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD",
            "identifier": "ZZZ64802Z",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Synergy Physical Therapy",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Synergy Physical Therapy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Apr 27, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.