Individual provider Active NPI

Reginald Quito Pamintuan, PT, DPT

  • Physical Therapist
  • San Diego, CA
National Provider Identifier
1609488584
Registry record updated Aug 20, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT298399 Issued in CA
Practice address
9333 Genesee Ave Ste 350B
San Diego, CA 92121-2111
Phone
(619) 254-5239
NPI assigned
Aug 20, 2020
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 20, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X PT298399 CA Primary

Addresses

Primary practice location

9333 Genesee Ave Ste 350B
San Diego, CA 92121-2111

Mailing address

1182 Sea Strand LN
San Diego, CA 92154-5818
Phone (619) 254-5239

Other practice location 1

31248 Oak Crest Dr Ste 120
Westlake Village, CA 91361-5673
Phone (818) 926-9057

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
PT298399CAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Feld Care Therapy Inc Physical Therapist Past Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1597881600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1597881600000",
    "number": "1609488584",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1182 SEA STRAND LN",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921545818",
            "telephone_number": "619-254-5239"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9333 GENESEE AVE STE 350B",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921212111",
            "telephone_number": "619-254-5239"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "31248 Oak Crest Dr Ste 120",
            "address_purpose": "LOCATION",
            "city": "Westlake Village",
            "state": "CA",
            "postal_code": "913615673",
            "country_code": "US",
            "telephone_number": "818-926-9057",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PAMINTUAN",
        "first_name": "REGINALD",
        "middle_name": "QUITO",
        "name_prefix": "Dr.",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-08-20",
        "last_updated": "2020-08-20",
        "certification_date": "2020-08-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "PT298399",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Diego, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 20, 2020; 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.