Jay Lomibao Padillo, PHYSICAL THERAPIST

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

28175 Issued in CA

Practice address

409 S la Brea Ave
Inglewood, CA 90301-2321

Phone

(818) 245-0210

Fax

(818) 827-3350

NPI assigned

May 23, 2007

Sex

Male

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Bravo Rehab Services, Inc

  • Physical Therapy Clinic/Center
  • Inglewood, CA
  • NPI 1144431073
  NPD (past) Authorized official
• Med-Legal Safaeian Chiropractic and Physical Therapy Group Inc

  • Chiropractor
  • Inglewood, CA
  • NPI 1588945950
  NPD (past)

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

{
    "created_epoch": "1179878400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1295827200000",
    "number": "1497965867",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1254 N EVERETT ST",
            "city": "GLENDALE",
            "state": "CA",
            "postal_code": "912071429",
            "telephone_number": "818-245-0210",
            "fax_number": "818-827-3350"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "409 S LA BREA AVE",
            "city": "INGLEWOOD",
            "state": "CA",
            "postal_code": "903012321",
            "telephone_number": "818-245-0210",
            "fax_number": "818-827-3350"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PADILLO",
        "first_name": "JAY",
        "middle_name": "LOMIBAO",
        "name_prefix": "Mr.",
        "credential": "PHYSICAL THERAPIST",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-05-23",
        "last_updated": "2011-01-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "28175",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Joaquin Donaldo Pacheco Uitz
• Karlene Tadipa Pacheco, RN, BSN
• Pacific Nephrology Medical Group
• Pacific Pathology Medical Group Inc
• Pacific Respiratory Services
• Pai and Chan Pharmacy Corp
• Pai and Chan Pharmacy Corp
• Iris Palacios, COUNSELOR
• Veronica Palad, PHD
• Paletz Agatstein Urology Medical GRP Inc

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 24, 2011; 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.