Active NPI
Angelica Concepcion Alberto, DPT, MPH
- Physical Therapist
- Studio City, CA
National Provider Identifier
1679280093
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- Practice address
- 12833 Ventura Blvd Unit 153
Studio City, CA 91604-2368 - Phone
- (323) 826-5277
- NPI assigned
- Nov 4, 2022
- Last updated
- Nov 4, 2022
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Physical Therapist | 225100000X | NU | Primary |
Addresses
Primary practice location
12833 Ventura Blvd Unit 153
Studio City, CA 91604-2368
Mailing address
25342 Joyce PL
Stevenson Ranch, CA 91381-1514
Phone (661) 678-3455
Other practice location 1
24251 Town Center Dr Unit 708
Santa Clarita, CA 91355-4588
Phone (310) 985-2293
Other practice location 2
421 N Rodeo Dr Ste 13
Beverly Hills, CA 90210-4514
Phone (310) 985-2293
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)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Myodetox California PC Inc. | Past | Accepting new patients |
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.
-
dba Myodetox
- Physical Therapy Clinic/Center
- West Hollywood, CA
- NPI 1891482519
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1667520000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1667520000000",
"number": "1679280093",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "25342 JOYCE PL",
"city": "STEVENSON RANCH",
"state": "CA",
"postal_code": "913811514",
"telephone_number": "661-678-3455"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12833 VENTURA BLVD UNIT 153",
"city": "STUDIO CITY",
"state": "CA",
"postal_code": "916042368",
"telephone_number": "323-826-5277"
}
],
"practiceLocations": [
{
"address_1": "24251 Town Center Dr Unit 708",
"address_purpose": "LOCATION",
"city": "Santa Clarita",
"state": "CA",
"postal_code": "913554588",
"country_code": "US",
"telephone_number": "310-985-2293",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "421 N Rodeo Dr Ste 13",
"address_purpose": "LOCATION",
"city": "Beverly Hills",
"state": "CA",
"postal_code": "902104514",
"country_code": "US",
"telephone_number": "310-985-2293",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "ALBERTO",
"first_name": "ANGELICA",
"middle_name": "CONCEPCION",
"name_prefix": "Dr.",
"credential": "DPT, MPH",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-11-04",
"last_updated": "2022-11-04",
"certification_date": "2022-11-03",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Studio City, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 4, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.