Individual provider Active NPI

Adriana Delgado, P.T., D.P.T.

  • Physical Therapist
  • Laguna Hills, CA
National Provider Identifier
1679961080
Registry record updated Jan 7, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT41956 Issued in CA
Practice address
24422 Avenida de la Carlota
Suite 190
Laguna Hills, CA 92653-3636
Phone
(949) 340-6927
NPI assigned
Jan 7, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 7, 2015

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X PT41956 CA Primary
Geriatric Physical Therapist 2251G0304X PT41956 CA
Neurology Physical Therapist 2251N0400X PT41956 CA
Orthopedic Physical Therapist 2251X0800X PT41956 CA

Addresses

Primary practice location

24422 Avenida de la Carlota
Suite 190
Laguna Hills, CA 92653-3636

Mailing address

24422 Avenida de la Carlota
Suite 190
Laguna Hills, CA 92653-3636
Phone (949) 340-6927

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150209001655 CA Practitioner - Physical Therapist in Private Practice 0042535379 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Lurie Physical Therapy PCGroup PAC ID 2769648815, 19 clinicians

Practice addresses (Care Compare)

7320 Woodlake Ave
Suite 200
West Hills, CA 91307-1482
Phone (818) 381-5959

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
41956CAMDPharmacist
PT41956CAMDGeriatric Physical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Lurie Physical Therapy PC Physical Therapist CurrentSince Sep 25, 2017 Accepting new patients

Locations

17071 Ventura Blvd
Ste 103
Encino, CA 91316
Phone (818) 232-4884

7320 Woodlake Ave
Ste 200
West Hills, CA 91307
Phone (818) 381-5959

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

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": "1420588800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1420588800000",
    "number": "1679961080",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24422 AVENIDA DE LA CARLOTA",
            "address_2": "SUITE 190",
            "city": "LAGUNA HILLS",
            "state": "CA",
            "postal_code": "926533636",
            "telephone_number": "949-340-6927"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "24422 AVENIDA DE LA CARLOTA",
            "address_2": "SUITE 190",
            "city": "LAGUNA HILLS",
            "state": "CA",
            "postal_code": "926533636",
            "telephone_number": "949-340-6927"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DELGADO",
        "first_name": "ADRIANA",
        "credential": "P.T., D.P.T.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-01-07",
        "last_updated": "2015-01-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "PT41956",
            "primary": true
        },
        {
            "code": "2251G0304X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Geriatrics",
            "state": "CA",
            "license": "PT41956",
            "primary": false
        },
        {
            "code": "2251N0400X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Neurology",
            "state": "CA",
            "license": "PT41956",
            "primary": false
        },
        {
            "code": "2251X0800X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Orthopedic",
            "state": "CA",
            "license": "PT41956",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Laguna Hills, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 7, 2015; 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.