Individual provider Active NPI

Leonard A Adorador, D.P.T.

  • Specialist
  • Beaumont, CA
National Provider Identifier
1689648511
Registry record updated Feb 26, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
24475 Issued in CA
Practice address
1676 E 6TH St Ste C
Beaumont, CA 92223-5760
Phone
(951) 769-0300
Fax
(951) 769-2811
NPI assigned
Feb 15, 2006
Last updated
Feb 26, 2020By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 26, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X 24475 CA Primary

Addresses

Primary practice location

1676 E 6TH St Ste C
Beaumont, CA 92223-5760

Mailing address

1676 E 6TH St Ste C
Beaumont, CA 92223-5760
Phone (951) 769-0300

Other identifiers 1

IdentifierTypeStateIssuer
24475OtherCALICENSE NUMBER

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20091113000440 CA Practitioner - Physical Therapist in Private Practice 7810035722 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Adorador Enterprises IncGroup PAC ID 4183651276, 7 clinicians

Practice addresses (Care Compare)

1001 S Palm Canyon Dr
Suite 111
Palm Springs, CA 92264-8348
Phone (760) 327-0520

1676 E 6TH St
Suite C
Beaumont, CA 92223-5760
Phone (951) 769-0300

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Optimum Physical Therapy & Wellness PastSince Jul 1, 2002 Accepting new patients
Socal Rehab Associates Inc Past Accepting new patients

Organizations & group practices 3

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": "1139961600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1582675200000",
    "number": "1689648511",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1676 E 6TH ST STE C",
            "city": "BEAUMONT",
            "state": "CA",
            "postal_code": "922235760",
            "telephone_number": "951-769-0300",
            "fax_number": "951-769-2811"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1676 E 6TH ST STE C",
            "city": "BEAUMONT",
            "state": "CA",
            "postal_code": "922235760",
            "telephone_number": "951-769-0300",
            "fax_number": "951-769-2811"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ADORADOR",
        "first_name": "LEONARD",
        "middle_name": "A",
        "credential": "D.P.T.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-02-15",
        "last_updated": "2020-02-26",
        "certification_date": "2020-02-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "CA",
            "license": "24475",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE NUMBER",
            "identifier": "24475",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Beaumont, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 26, 2020; 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.