Organization Active NPI

P & a Health Services

  • Physical Therapy Clinic/Center
  • Anaheim, CA
National Provider Identifier
1619193406
Registry record updated Oct 27, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
License
W18200A Issued in CA
Legal business name
P & A HEALTH SERVICES
Practice address
101 E. Lincoln Avenue
#111
Anaheim, CA 92805
Phone
(714) 774-6502
Fax
(714) 774-0860
NPI assigned
Apr 18, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 27, 2007

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

Authorized official

Name
Alberto Avi Marciano
Title
President
Phone
(949) 770-6022

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Clinic/Center 261QP2000X W18200A CA Primary

Addresses

Primary practice location

101 E. Lincoln Avenue
#111
Anaheim, CA 92805

Mailing address

24 Hammond
Unit C
Irvine, CA 92618
Phone (949) 770-6022

Other identifiers 1

IdentifierTypeStateIssuer
W18200AOtherCAMEDICARE GROUP NUMBER

Other names 1

  • excel physical therapy Other name

National Provider Directory

National Provider Directory
Tax ID family
Excel Physical Therapy2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

Locations

101 E Lincoln Ave
Ste 111
Anaheim, CA 92805
Phone (714) 774-6502

NPI Registry JSON

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

{
    "created_epoch": "1176854400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1193443200000",
    "number": "1619193406",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24 HAMMOND",
            "address_2": "UNIT C",
            "city": "IRVINE",
            "state": "CA",
            "postal_code": "92618",
            "telephone_number": "949-770-6022",
            "fax_number": "949-770-7084"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 E. LINCOLN AVENUE",
            "address_2": "#111",
            "city": "ANAHEIM",
            "state": "CA",
            "postal_code": "92805",
            "telephone_number": "714-774-6502",
            "fax_number": "714-774-0860"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "P & A HEALTH SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-18",
        "last_updated": "2007-10-27",
        "status": "A",
        "authorized_official_last_name": "MARCIANO",
        "authorized_official_first_name": "ALBERTO",
        "authorized_official_middle_name": "AVI",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "949-770-6022"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "CA",
            "license": "W18200A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE GROUP NUMBER",
            "identifier": "W18200A",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "excel physical therapy",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Anaheim, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 27, 2007; 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.