Active NPI
Melody Pauline Garcia
- Physical Therapist
- Los Angeles, CA
National Provider Identifier
1609376128
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 294513
- Practice address
- 12121 Wilshire Blvd Ste 100
Los Angeles, CA 90025-1221 - Phone
- (310) 477-7774
- NPI assigned
- Feb 21, 2018
- Sex
- Female
- 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 | 294513 | CA | Primary |
Addresses
Primary practice location
12121 Wilshire Blvd Ste 100
Los Angeles, CA 90025-1221
Mailing address
5234 Los Diegos Way
Los Angeles, CA 90027-1016
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 |
|---|---|---|---|
| 294513 | CA | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Elite Orthosport Performance Physical Therapy | Past | Accepting new patients | |
| Elite Orthosport Physical Therapy | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Sports Physical Therapist
- Los Angeles, CA
- NPI 1942953724
-
- Physical Therapy Clinic/Center
- Los Angeles, CA
- NPI 1215280706
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1519171200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1519171200000",
"number": "1609376128",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5234 LOS DIEGOS WAY",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900271016"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12121 WILSHIRE BLVD STE 100",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900251221",
"telephone_number": "310-477-7774"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GARCIA",
"first_name": "MELODY",
"middle_name": "PAULINE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-02-21",
"last_updated": "2018-02-21",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "CA",
"license": "294513",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Los Angeles, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 21, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.