Active NPI
Louise Jean Capistrano Rafael
- Physical Therapy Assistant
- Chula Vista, CA
National Provider Identifier
1669144226
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapy Assistant
- License
- 50788
- Practice address
- 1255 Broadway Apt 31
Chula Vista, CA 91911-2958 - Phone
- (619) 616-3749
- NPI assigned
- Oct 1, 2021
- Last updated
- Oct 1, 2021
- Sex
- Female
- 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 Therapy Assistant | 225200000X | 50788 | CA | Primary |
Addresses
Primary practice location
1255 Broadway Apt 31
Chula Vista, CA 91911-2958
Mailing address
1255 Broadway Apt 31
Chula Vista, CA 91911-2958
Phone (619) 616-3749
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 |
|---|---|---|---|
| 50788 | CA | MD | General Practice Dentistry |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1633046400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1633046400000",
"number": "1669144226",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1255 BROADWAY APT 31",
"city": "CHULA VISTA",
"state": "CA",
"postal_code": "919112958",
"telephone_number": "619-616-3749"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1255 BROADWAY APT 31",
"city": "CHULA VISTA",
"state": "CA",
"postal_code": "919112958",
"telephone_number": "619-616-3749"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RAFAEL",
"first_name": "LOUISE JEAN",
"middle_name": "CAPISTRANO",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2021-10-01",
"last_updated": "2021-10-01",
"certification_date": "2021-10-01",
"status": "A"
},
"taxonomies": [
{
"code": "225200000X",
"taxonomy_group": "",
"desc": "Physical Therapy Assistant",
"state": "CA",
"license": "50788",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Chula Vista, CA
- Rady Children's Hospital San Diego
- Rady Children's Hospital San Diego
- Rady Childrens Hospital and Health Center
- Rae Palmer Voice and Speech Services, PC
- Kirk John Raeber, D.O.
- Rafiki Wange Mental Health Services Corporation
- Douglas Arbogast Rahn III, M.D.
- Rai Care Centers of Southern California II, LLC
- Sara Kim Rainey
- Matthew John Raith
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 1, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.