Pablo Castro Tavares, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

298901 Issued in CA

Practice address

1720 Ringwood Ave
San Jose, CA 95131-1711

Phone

(408) 988-8581

NPI assigned

Sep 9, 2020

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not 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 and National Provider Directory roles.

• Noralahi Medical Clinics Incorporated

  • Physical Medicine & Rehabilitation Physician
  • San Jose, CA
  • NPI 1952412934
  NPD

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

{
    "created_epoch": "1599609600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1601596800000",
    "number": "1669087425",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1720 RINGWOOD AVE",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951311711",
            "telephone_number": "831-676-7944"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1720 RINGWOOD AVE",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951311711",
            "telephone_number": "408-988-8581"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TAVARES",
        "first_name": "PABLO",
        "middle_name": "CASTRO",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-09-09",
        "last_updated": "2020-10-02",
        "certification_date": "2020-10-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "298901",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Maile Anne Tatsuno, OTR/L
• Amelia Taumoepeau
• Mohammad Tavakol, M.D
• Farinaz Tavakoli, DC
• Ghazaleh Tavakoli, PHARM.D.
• Alexander Bennett Taves
• Abas Tay, MD
• Jafar Tay, MD
• Marian Tay
• Ana Minerva Tayco, CRNA

• Physical Therapist in San Jose, CA
• Providers in San Jose, 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 2, 2020; 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.