Matthew Julian Tabarez, PT, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

293981 Issued in CA

Practice address

14221 Euclid St Ste F
Garden Grove, CA 92843-4991

Phone

(714) 891-2739

NPI assigned

Nov 19, 2017

Sex

Male

Sole proprietor

Yes

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

Enrolled in CA

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2017

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Ilya Kaminsky DC a Professional CorporationGroup PAC ID 8325190168, 7 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Ilya Kaminsky DC a Professional Corporation

  • Physical Therapist
  • Los Angeles, CA
  • NPI 1417128125

  Multi-Specialty

  Medicare reassignment Care Compare group NPD
• Dynamik Rehab Inc

  • Physical Therapist
  • Garden Grove, CA
  • NPI 1720806417
  NPD

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

{
    "created_epoch": "1511049600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1511049600000",
    "number": "1538673124",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14221 EUCLID ST STE F",
            "city": "GARDEN GROVE",
            "state": "CA",
            "postal_code": "928434991"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14221 EUCLID ST STE F",
            "city": "GARDEN GROVE",
            "state": "CA",
            "postal_code": "928434991",
            "telephone_number": "714-891-2739"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TABAREZ",
        "first_name": "MATTHEW",
        "middle_name": "JULIAN",
        "name_prefix": "Dr.",
        "credential": "PT, DPT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2017-11-19",
        "last_updated": "2017-11-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "293981",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Adrianna Rayn Szlachciuk
• T.R.Rhee,M.D.Inc
• Huong Ta, L.AC.
• Namtran Nguyen Ta, AGNP
• Ryan Taban, M.D.
• Sarah Thaer Tabla
• Marco Tacadena
• Victor Viet Tadang, DDS
• Adrian Tafolla
• Bailey Maxine Tago

• Physical Therapist in Garden Grove, CA
• Providers in Garden Grove, CA by specialty
• Physical Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 19, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.