Active NPI
Vladislav Bakal, RPT
- Physical Therapist
- Lancaster, CA
National Provider Identifier
1538100425
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT30045
- 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, 2010
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| PT30045 | Other | CA | PHYSICAL 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.
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| West Point Physical Therapy Center, Inc | Physical Therapist | Current | Accepting new patients |
| C and a Health Services | Past | Accepting new patients | |
| P and a Health Services | Physical Therapist | Past | Accepting new patients |
| PT Plus Rehab, Inc | Physical Therapist | Past | 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.
-
- Occupational Therapist
- Palmdale, CA
- NPI 1194807941
Physical Therapist
-
dba BKP Chiropractic Clinic Inc
- Orthopedic Chiropractor
- Northridge, CA
- NPI 1609935808
-
- Physical Therapy Clinic/Center
- Santa Ana, CA
- NPI 1093931883
-
- Physical Therapy Clinic/Center
- Victorville, CA
- NPI 1104041144
Physical Therapist
-
- Physical Medicine & Rehabilitation Physician
- Los Angeles, CA
- NPI 1770763690
Physical Therapist
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.