NPIMap

Organization Active NPI

San Mateo Physical Therapy Center

Doing business as Campus Physical Therapy Center

  • Physical Therapy Clinic/Center
  • San Mateo, CA
National Provider Identifier
1578704045
Registry record updated Mar 13, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
Legal business name
SAN MATEO PHYSICAL THERAPY CENTER
Doing business as
Campus Physical Therapy Center
Practice address
101 S San Mateo Dr
200
San Mateo, CA 94401-3819
Phone
(650) 994-7800
Fax
(650) 240-1834
NPI assigned
Mar 13, 2009
Organization subpart
Yes
Parent organization
CAMPUS PHYSICAL THERAPY, INC.As reported in NPPES

NPPES NPI Registry

Updated by the provider on Mar 13, 2009

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

Authorized official

Name
Luis Araneda E Araneda, DPT
Title
Ceo
Phone
(650) 994-7800

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Clinic/Center 261QP2000X Primary

Addresses

Primary practice location

101 S San Mateo Dr
200
San Mateo, CA 94401-3819

Mailing address

901 Campus Dr
213
Daly City, CA 94015-4900
Phone (650) 994-7800

Other identifiers 1

IdentifierTypeStateIssuer
ZZZ04850ZOtherCAMEDICARE PTAN

Other names 1

  • Campus Physical Therapy Center Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Campus Physical Therapy Inc4 organizations share this tax ID, including this one
Part of
Campus Physical Therapy Inc

Other organizations with this tax ID 3

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1236902400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1236902400000",
    "number": "1578704045",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "901 CAMPUS DR",
            "address_2": "213",
            "city": "DALY CITY",
            "state": "CA",
            "postal_code": "940154900",
            "telephone_number": "650-994-7800",
            "fax_number": "650-240-1834"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 S SAN MATEO DR",
            "address_2": "200",
            "city": "SAN MATEO",
            "state": "CA",
            "postal_code": "944013819",
            "telephone_number": "650-994-7800",
            "fax_number": "650-240-1834"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SAN MATEO PHYSICAL THERAPY CENTER",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "CAMPUS PHYSICAL THERAPY, INC.",
        "enumeration_date": "2009-03-13",
        "last_updated": "2009-03-13",
        "status": "A",
        "authorized_official_last_name": "ARANEDA",
        "authorized_official_first_name": "LUIS ARANEDA",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "650-994-7800",
        "authorized_official_credential": "DPT"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "ZZZ04850Z",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Campus Physical Therapy Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in San Mateo, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 13, 2009; 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.