Active NPI
Eubie Aguilar Sta Cruz, PT, DPT
- Geriatric Physical Therapist
- Chula Vista, CA
National Provider Identifier
1659685923
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Geriatric Physical Therapist
- License
- PT28195
- Practice address
- 1540 Santa Victoria Rd
Apt. 207
Chula Vista, CA 91913-2576 - Phone
- (619) 729-0909
- NPI assigned
- Jul 29, 2010
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Geriatric Physical Therapist | 2251G0304X | PT28195 | CA | Primary |
Addresses
Primary practice location
1540 Santa Victoria Rd
Apt. 207
Chula Vista, CA 91913-2576
Mailing address
1540 Santa Victoria Rd
Apt. 207
Chula Vista, CA 91913-2576
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PT28195 | CA | MD | Geriatric Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1280361600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1403568000000",
"number": "1659685923",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1540 SANTA VICTORIA RD",
"address_2": "APT. 207",
"city": "CHULA VISTA",
"state": "CA",
"postal_code": "919132576"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1540 SANTA VICTORIA RD",
"address_2": "APT. 207",
"city": "CHULA VISTA",
"state": "CA",
"postal_code": "919132576",
"telephone_number": "619-729-0909"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STA CRUZ",
"first_name": "EUBIE",
"middle_name": "AGUILAR",
"credential": "PT, DPT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2010-07-29",
"last_updated": "2014-06-24",
"status": "A"
},
"taxonomies": [
{
"code": "2251G0304X",
"taxonomy_group": "",
"desc": "Physical Therapist, Geriatrics",
"state": "CA",
"license": "PT28195",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Chula Vista, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 24, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.