Individual provider Active NPI

Amorita Achabal

  • Physical Therapist
  • San Marcos, CA
National Provider Identifier
1679351589
Registry record updated Sep 20, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
304918 Issued in CA
Practice address
1582 W San Marcos Blvd Ste 105B
San Marcos, CA 92078-4081
Phone
(650) 452-4110
NPI assigned
Sep 20, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 20, 2023

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 304918 CA Primary

Addresses

Primary practice location

1582 W San Marcos Blvd Ste 105B
San Marcos, CA 92078-4081

Mailing address

1202 Donax Ave Unit 1
Imperial Beach, CA 91932-2369

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

State licenses

LicenseStateTypeSpecialty
304918CAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Bewell Home Physical Therapy P C CurrentSince Sep 1, 2023 Accepting new patients

Locations

1582 W San Marcos Blvd
Ste 105B
San Marcos, CA 92078
Phone (650) 452-4110

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1695168000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1695168000000",
    "number": "1679351589",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1202 DONAX AVE UNIT 1",
            "city": "IMPERIAL BEACH",
            "state": "CA",
            "postal_code": "919322369"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1582 W SAN MARCOS BLVD STE 105B",
            "city": "SAN MARCOS",
            "state": "CA",
            "postal_code": "920784081",
            "telephone_number": "650-452-4110"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ACHABAL",
        "first_name": "AMORITA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-09-20",
        "last_updated": "2023-09-20",
        "certification_date": "2023-09-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "304918",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Marcos, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 20, 2023; 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.