George Raymond Espinoza

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT11504 Issued in CA

Practice address

4481 Elder Ave
Seal Beach, CA 90740-2957

Phone

(562) 212-9976

Fax

(563) 596-1452

NPI assigned

Oct 17, 2006

Last updated

Oct 14, 2010By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 1982

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Prohealth Partners, a Medical GroupGroup PAC ID 2769388412, 236 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Prohealth Partners, a Medical Group

  • Internal Medicine Physician
  • Lakewood, CA
  • NPI 1003949975
  Medicare reassignment Care Compare group NPD
• Espi Physical Therapy, Inc.

  • Physical Therapist
  • Seal Beach, CA
  • NPI 1750513271
  Authorized official Same address or phone
• Prohealth Partners a Medical Group

  • Orthopaedic Surgery Physician
  • Long Beach, CA
  • NPI 1265982359
  NPD
• Prohealth Partners, a Medical Group, Inc.

  • Internal Medicine Physician
  • Pico Rivera, CA
  • NPI 1912899394
  NPD
• South Bay Orthopaedic Specialists Medical Center a Medical Partnership

  • Orthopaedic Surgery Physician
  • Torrance, CA
  • NPI 1396708988
  NPD (past)

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

{
    "created_epoch": "1161043200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1287014400000",
    "number": "1659451011",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4481 ELDER AVE",
            "city": "SEAL BEACH",
            "state": "CA",
            "postal_code": "907402957",
            "telephone_number": "562-212-9976",
            "fax_number": "562-596-1452"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4481 ELDER AVE",
            "city": "SEAL BEACH",
            "state": "CA",
            "postal_code": "907402957",
            "telephone_number": "562-212-9976",
            "fax_number": "563-596-1452"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ESPINOZA",
        "first_name": "GEORGE",
        "middle_name": "RAYMOND",
        "name_prefix": "Mr.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-17",
        "last_updated": "2010-10-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "PT11504",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD",
            "identifier": "ZZZ20708Z",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Shane Elder, COTA
• Elderberry Healthcare and Physical Therapy Inc.
• Islam Elsobky
• Miwa Tsuji Emi, MSW
• Espi Physical Therapy, Inc.
• Farnoush Fadavi, D.M.D.
• Michael H Fanarof, O.D.
• Denise C Fanelli, MA, ATR, LMFT
• Robin Faustino Jr., PT, DPT
• Julia Ferguson

• Physical Therapist in Seal Beach, CA
• Providers in Seal Beach, CA by specialty
• Physical Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 14, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.