Individual provider Active NPI

Vladislav Bakal, RPT

  • Physical Therapist
  • Lancaster, CA
National Provider Identifier
1538100425
Registry record updated Aug 19, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT30045 Issued in CA
Practice address
412 W Avenue J
#E
Lancaster, CA 93534-3685
Phone
(661) 945-0884
Fax
(661) 942-9714
NPI assigned
Jun 9, 2006
Last updated
Aug 19, 2010By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 19, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X PT30045 CA Primary

Addresses

Primary practice location

412 W Avenue J
#E
Lancaster, CA 93534-3685

Mailing address

24 Hammond
Unit C
Irvine, CA 92618-1680
Phone (949) 770-6022

Other identifiers 1

IdentifierTypeStateIssuer
PT30045OtherCAPHYSICAL THERAPIST

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
HHS exclusion list flag
CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.

Practice roles

OrganizationSpecialtyStatusNew patients
West Point Physical Therapy Center, Inc Physical Therapist CurrentSince Sep 4, 2012 Accepting new patients
C and a Health Services Past Accepting new patients
P and a Health Services Physical Therapist PastSince Mar 1, 2009 Accepting new patients
PT Plus Rehab, Inc Physical Therapist PastSince Nov 5, 2012 Accepting new patients
BKP Chiropractic & Rehabilitation Past Accepting new patients
Joint Effort Medical Wellness Physical Therapist Past Accepting new patients
Shakocat Inc. Physical Therapist Past Accepting new patients

Locations

1115 W Avenue M14
Palmdale, CA 93551
Phone (661) 265-0060

Organizations & group practices 7

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1149811200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1282176000000",
    "number": "1538100425",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24 HAMMOND",
            "address_2": "UNIT C",
            "city": "IRVINE",
            "state": "CA",
            "postal_code": "926181680",
            "telephone_number": "949-770-6022",
            "fax_number": "949-770-7084"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "412 W AVENUE J",
            "address_2": "#E",
            "city": "LANCASTER",
            "state": "CA",
            "postal_code": "935343685",
            "telephone_number": "661-945-0884",
            "fax_number": "661-942-9714"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BAKAL",
        "first_name": "VLADISLAV",
        "credential": "RPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-09",
        "last_updated": "2010-08-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "PT30045",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PHYSICAL THERAPIST",
            "identifier": "PT30045",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lancaster, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 19, 2010; 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.