Active NPI
Nicholas Richard Rounds
- Physical Therapist
- San Diego, CA
National Provider Identifier
1629785787
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 298988
- Practice address
- 4647 Zion Ave
San Diego, CA 92120-2507 - Phone
- (833) 574-2273
- NPI assigned
- Oct 28, 2022
- Last updated
- Sep 26, 2023
- Sex
- Male
- Sole proprietor
- Yes
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 | 298988 | CA | Primary |
Addresses
Primary practice location
4647 Zion Ave
San Diego, CA 92120-2507
Mailing address
452 S 3Rd St
El Cajon, CA 92019-2512
Other practice location 1
9455 Clairemont Mesa Blvd
San Diego, CA 92123-1297
Phone (858) 266-5000
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| SOAP URL | https://careepicwest.kp.org:14430/Interconnect-prodcalgateway/wcf/epic.community.hie/xcpdrespondinggatewaysync.svc/scalceq | Health Information Exchange (HIE) | Southern California Permanente Medical Group |
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
| License | State | Type | Specialty |
|---|---|---|---|
| 298988 | CA | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1666915200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1695686400000",
"number": "1629785787",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "452 S 3RD ST",
"city": "EL CAJON",
"state": "CA",
"postal_code": "920192512"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4647 ZION AVE",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "921202507",
"telephone_number": "833-574-2273"
}
],
"practiceLocations": [
{
"address_1": "9455 Clairemont Mesa Blvd",
"address_purpose": "LOCATION",
"city": "San Diego",
"state": "CA",
"postal_code": "921231297",
"country_code": "US",
"telephone_number": "858-266-5000",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "ROUNDS",
"first_name": "NICHOLAS",
"middle_name": "RICHARD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2022-10-28",
"last_updated": "2023-09-26",
"certification_date": "2022-10-28",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Physical Therapist",
"state": "CA",
"license": "298988",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "SOAP",
"endpointTypeDescription": "SOAP URL",
"endpoint": "https://careepicwest.kp.org:14430/Interconnect-prodcalgateway/wcf/epic.community.hie/xcpdrespondinggatewaysync.svc/scalceq",
"affiliation": "Y",
"endpointDescription": "Carequality",
"affiliationName": "Southern California Permanente Medical Group",
"use": "HIE",
"useDescription": "Health Information Exchange (HIE)",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "C-CDA",
"address_1": "4647 Zion Ave",
"city": "San Diego",
"state": "CA",
"country_code": "US",
"postal_code": "921202507",
"country_name": "United States",
"address_type": "DOM"
}
],
"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 Sep 26, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.