Active NPI
Nicholas Cao, PTA
- Physical Therapy Assistant
- Brea, CA
National Provider Identifier
1538719976
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapy Assistant
- License
- PTA50161
- Practice address
- 2650 E Imperial Hwy Ste 207
Brea, CA 92821-6103 - Phone
- (310) 808-3753
- NPI assigned
- Sep 17, 2019
- Last updated
- Sep 17, 2019
- 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 Therapy Assistant | 225200000X | PTA50161 | CA | Primary |
Addresses
Primary practice location
2650 E Imperial Hwy Ste 207
Brea, CA 92821-6103
Mailing address
1525 W Toscanini Dr
Rancho Palos Verdes, CA 90275-1837
Phone (310) 831-0962
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PTA50161 | CA | MD | Physical Therapy Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1568678400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1568678400000",
"number": "1538719976",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1525 W TOSCANINI DR",
"city": "RANCHO PALOS VERDES",
"state": "CA",
"postal_code": "902751837",
"telephone_number": "310-831-0962"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2650 E IMPERIAL HWY STE 207",
"city": "BREA",
"state": "CA",
"postal_code": "928216103",
"telephone_number": "310-808-3753"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CAO",
"first_name": "NICHOLAS",
"credential": "PTA",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2019-09-17",
"last_updated": "2019-09-17",
"status": "A"
},
"taxonomies": [
{
"code": "225200000X",
"taxonomy_group": "",
"desc": "Physical Therapy Assistant",
"state": "CA",
"license": "PTA50161",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Brea, CA
- California Rehabilitation & Sports Therapy a California Physical Ther (California Hand Therapy)
- California Surgical Institute
- Rio Marie A. Calvert, FNP-C
- Alondra Joann Camones, DDS
- Marina Campos, CCC-SLP
- Samantha Tu Nhi Cao
- Henry Steven Cardenas, DC
- Caremore Health Plan
- Carol K Yeung DDS Inc
- Aliana Arlene Carrazco
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 17, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.