Individual provider Active NPI

Colin Limbach

  • Physician Assistant
  • Torrance, CA
National Provider Identifier
1568132264
Registry record updated Jan 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
027157 Issued in NY
Practice address
1907 Border Ave
Torrance, CA 90501-3606
Phone
(844) 443-6246
NPI assigned
Sep 15, 2021
Last updated
Jan 13, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 13, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 027157 NY Primary

Addresses

Primary practice location

1907 Border Ave
Torrance, CA 90501-3606

Mailing address

1502 Station Way
Huntington Station, NY 11746-1977

Other practice location 1

45 Research Way Ste 208
East Setauket, NY 11733-6401
Phone (631) 590-2245

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY, CT, CA, NJ, PA, MI6 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 6

Enrollment IDStateProvider typePAC IDDetails
I20220214000870 NY Practitioner - Physician Assistant 9335532407 Reassigns benefits to 2 organizations
I20240926001293 CT Practitioner - Physician Assistant 9335532407 Reassigns benefits to 1 organization
I20241108002837 CA Practitioner - Physician Assistant 9335532407 Reassigns benefits to 1 organization
I20241114004542 NJ Practitioner - Physician Assistant 9335532407 Reassigns benefits to 1 organization
I20250812004841 PA Practitioner - Physician Assistant 9335532407 Reassigns benefits to 1 organization
I20251022003759 MI Practitioner - Physician Assistant 9335532407 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Mobile Medical Healthcare PCGroup PAC ID 3072919315, 8 clinicians

Practice addresses (Care Compare)

701 Cooper Rd
Suite 1
Voorhees, NJ 08043-3800
Phone (866) 349-4230

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
027157NYMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Mobile Urgent Care Medical Services PC PastSince Apr 1, 2022 Accepting new patients

Interoperability endpoints

  • Direct secure messaging: colin.limbach.1@24989.direct.athenahealth.com

Organizations & group practices 4

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": "1631664000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1768262400000",
    "number": "1568132264",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1502 STATION WAY",
            "city": "HUNTINGTON STATION",
            "state": "NY",
            "postal_code": "117461977"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1907 BORDER AVE",
            "city": "TORRANCE",
            "state": "CA",
            "postal_code": "905013606",
            "telephone_number": "844-443-6246"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "45 Research Way Ste 208",
            "address_purpose": "LOCATION",
            "city": "East Setauket",
            "state": "NY",
            "postal_code": "117336401",
            "country_code": "US",
            "telephone_number": "631-590-2245",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LIMBACH",
        "first_name": "COLIN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-09-15",
        "last_updated": "2026-01-13",
        "certification_date": "2026-01-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NY",
            "license": "027157",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Torrance, CA

Sources for this page

Verify at the official NPI Registry.