NPIMap

Organization Active NPI

Quality Care Therapeutic Services Inc

Doing business as Quality Care Therapeutic Services

  • Physical Therapist
  • El Cajon, CA
National Provider Identifier
1639443781
Registry record updated Sep 27, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Legal business name
QUALITY CARE THERAPEUTIC SERVICES INC
Practice address
353 E Park Ave
Suite 104
El Cajon, CA 92020-3988
Phone
(619) 334-4294
Fax
(619) 334-4296
NPI assigned
Mar 6, 2012
Last updated
Sep 27, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 27, 2024

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

Authorized official

Name
John Youkhana
Title
Owner
Phone
(619) 647-8854

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
PodiatristGroup: 193200000X MULTI-SPECIALTY GROUP 213E00000X
Physical TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 225100000X Primary
Geriatric Physical TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 2251G0304X
Podiatric Clinic/Center 261QP1100X
Physical Therapy Clinic/Center 261QP2000X

Addresses

Primary practice location

353 E Park Ave
Suite 104
El Cajon, CA 92020-3988

Mailing address

353 E Park Ave
Suite 104
El Cajon, CA 92020-3988
Phone (619) 334-4294

Other names 1

  • Quality Care Therapeutic Services Former legal business name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20120613000574 CA Part B Supplier - Physical/Occupational Therapy Group in Private Practice 7517121015 Receives reassigned benefits from 3 practitioners
Practice locations: El Cajon, CA

National Provider Directory

National Provider Directory
Tax ID family
Quality Care Therapeutic Services Inc3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

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

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1330992000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1727395200000",
    "number": "1639443781",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "353 E PARK AVE",
            "address_2": "SUITE 104",
            "city": "EL CAJON",
            "state": "CA",
            "postal_code": "920203988",
            "telephone_number": "619-334-4294",
            "fax_number": "619-334-4296"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "353 E PARK AVE",
            "address_2": "SUITE 104",
            "city": "EL CAJON",
            "state": "CA",
            "postal_code": "920203988",
            "telephone_number": "619-334-4294",
            "fax_number": "619-334-4296"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "QUALITY CARE THERAPEUTIC SERVICES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-03-06",
        "last_updated": "2024-09-27",
        "certification_date": "2024-09-26",
        "status": "A",
        "authorized_official_last_name": "YOUKHANA",
        "authorized_official_first_name": "JOHN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "619-647-8854"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Podiatrist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "2251G0304X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist, Geriatrics",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QP1100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Podiatric",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Quality Care Therapeutic Services",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Quality Care Therapeutic Services",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Quality Care Therapeutic Services",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in El Cajon, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 27, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.