Individual provider Active NPI

David K. Ishii, MPT

  • Physical Therapist
  • Huntington Beach, CA
National Provider Identifier
1669493789
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT26444 Issued in CA
Practice address
7451 Warner Ave
Ste. a
Huntington Beach, CA 92647-5494
Phone
(714) 596-0700
Fax
(704) 596-0774
NPI assigned
Jul 22, 2006
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X PT26444 CA Primary

Addresses

Primary practice location

7451 Warner Ave
Ste. a
Huntington Beach, CA 92647-5494

Mailing address

7451 Warner Ave
Ste. a
Huntington Beach, CA 92647-5494
Phone (714) 596-0700

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050616000365 CA Practitioner - Physical Therapist in Private Practice 5991749327 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ishcorp EnterprisesGroup PAC ID 7214971993, 4 clinicians

Practice addresses (Care Compare)

7451 Warner Ave a
Huntington Beach, CA 92647-8402
Phone (714) 593-0700

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Ishcorp Enterprises Physical Therapist CurrentSince Mar 1, 2005 Accepting new patients

Locations

7451 Warner Ave
Ste A
Huntington Beach, CA 92647
Phone (714) 593-0700

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1153526400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1669493789",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7451 WARNER AVE",
            "address_2": "STE. A",
            "city": "HUNTINGTON BEACH",
            "state": "CA",
            "postal_code": "926475494",
            "telephone_number": "714-596-0700",
            "fax_number": "704-596-0774"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7451 WARNER AVE",
            "address_2": "STE. A",
            "city": "HUNTINGTON BEACH",
            "state": "CA",
            "postal_code": "926475494",
            "telephone_number": "714-596-0700",
            "fax_number": "704-596-0774"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ISHII",
        "first_name": "DAVID",
        "middle_name": "K.",
        "credential": "MPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-22",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "PT26444",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Huntington Beach, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.