Active NPI
Victor DO
- Physical Therapist
- Santa Ana, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT295180
- Practice address
- 2700 N Main St Ste 150
Santa Ana, CA 92705-6638 - Phone
- (844) 316-7979
- NPI assigned
- Sep 4, 2018
- Last updated
- Dec 19, 2019
- Sex
- Male
- 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 | PT295180 | CA | Primary |
Addresses
Primary practice location
2700 N Main St Ste 150
Santa Ana, CA 92705-6638
Mailing address
16076 Rue Cir
Fountain Valley, CA 92708-1533
Phone (626) 726-5209
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2018
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
16185 Los Gatos Blvd
Suite 205
Los Gatos, CA 95032-4569
Phone (866) 525-3175
7525 Metropolitan Dr
Suite 306
San Diego, CA 92108-4404
Phone (844) 316-7979
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PT295180 | CA | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Livara Health Medical Group PC | Physical Therapist | Current | Accepting new patients |
| Spinezone Medical Fitness, Inc. | Physical Therapist | Past | Accepting new patients |
| Spinezone Medical Fitness, Inc. | Physical Therapist | Past | Accepting new patients |
| Spinezone Medical Fitness, Inc. | Physical Therapist | Past | Accepting new patients |
| Spinezone Medical Fitness, Inc. | Physical Therapist | Past | Accepting new patients |
| Spinezone Medical Fitness, Inc. | Physical Therapist | Past | Accepting new patients |
| Livara Health Medical Group NJ, PC | Physical Therapist | Past | Accepting new patients |
Locations
12865 Pointe del Mar Way
Ste 190
Del Mar, CA 92014
Phone (619) 432-4634
23161 Lake Center Dr
Ste 120
Lake Forest, CA 92630
1828 Oceanside Blvd
Oceanside, CA 92054
2535 Camino del Rio S
Ste 150
San Diego, CA 92108
Phone (619) 294-2550
7525 Metropolitan Dr
Ste 306
San Diego, CA 92108
Phone (619) 275-7460
2700 N Main St
Ste 150
Santa Ana, CA 92705
Phone (619) 432-4634
400 N Tustin Ave
Ste 140
Santa Ana, CA 92705
Interoperability endpoints
- victor.do.1@11199.direct.athenahealth.com
Organizations & group practices 8
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.
-
- Physical Therapist
- San Diego, CA
- NPI 1144469404
-
- Physical Therapist
- Los Gatos, CA
- NPI 1689162166
-
- Physical Therapist
- San Diego, CA
- NPI 1861282691
-
- Physical Therapist
- Oceanside, CA
- NPI 1659915015
-
- Physical Therapist
- Lake Forest, CA
- NPI 1689439739
-
- Physical Therapist
- Santa Ana, CA
- NPI 1699251256
-
- Physical Therapist
- Santa Ana, CA
- NPI 1699510362
-
- Physical Therapist
- Del Mar, CA
- NPI 1720517428
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1536019200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1576713600000",
"number": "1689156838",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "16076 RUE CIR",
"city": "FOUNTAIN VALLEY",
"state": "CA",
"postal_code": "927081533",
"telephone_number": "626-726-5209"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2700 N MAIN ST STE 150",
"city": "SANTA ANA",
"state": "CA",
"postal_code": "927056638",
"telephone_number": "844-316-7979"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DO",
"first_name": "VICTOR",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2018-09-04",
"last_updated": "2019-12-19",
"certification_date": "2019-12-19",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "CA",
"license": "PT295180",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Santa Ana, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 19, 2019; 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.