NPIMap

Organization Active NPI

Salinas Physical Therapy Sports Medicine PC

  • Physical Therapy Clinic/Center
  • Yorba Linda, CA
National Provider Identifier
1689706814
Registry record updated Mar 19, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
License
14523 Issued in CA
Legal business name
SALINAS PHYSICAL THERAPY SPORTS MEDICINE PC
Practice address
23655 Via del Rio
Suite C
Yorba Linda, CA 92887-2718
Phone
(714) 695-1566
Fax
(714) 695-1553
NPI assigned
Mar 12, 2007
Last updated
Mar 19, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 19, 2015

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

Authorized official

Name
Ruben Salinas, PT, DPTNPI 1902920648
Title
President
Phone
(714) 695-1566

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Clinic/Center 261QP2000X 14523 CA Primary

Addresses

Primary practice location

23655 Via del Rio
Suite C
Yorba Linda, CA 92887-2718

Mailing address

23655 Via del Rio
Suite C
Yorba Linda, CA 92887-2718
Phone (714) 695-1566

Other identifiers 1

IdentifierTypeStateIssuer
W17104OtherCAGROUP MEDICARE ID

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040422001744 CA Part B Supplier - Clinic/Group Practice 3274529326 Receives reassigned benefits from 13 practitioners
Practice locations: Yorba Linda, CA

National Provider Directory

National Provider Directory

Locations

21540 Yorba Linda Blvd
Yorba Linda, CA 92887
Phone (714) 695-1566

21540 Yorba Linda Blvd
Ste A
Yorba Linda, CA 92887
Phone (714) 695-1566

23655 Via del Rio
Ste C
Yorba Linda, CA 92887
Phone 7146951566 ext. 71469

Practitioners & affiliated clinicians

Practitioners 15

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 15

NPI Registry JSON

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

{
    "created_epoch": "1173657600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1426723200000",
    "number": "1689706814",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23655 VIA DEL RIO",
            "address_2": "SUITE C",
            "city": "YORBA LINDA",
            "state": "CA",
            "postal_code": "928872718",
            "telephone_number": "714-695-1566",
            "fax_number": "714-695-1553"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23655 VIA DEL RIO",
            "address_2": "SUITE C",
            "city": "YORBA LINDA",
            "state": "CA",
            "postal_code": "928872718",
            "telephone_number": "714-695-1566",
            "fax_number": "714-695-1553"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SALINAS PHYSICAL THERAPY SPORTS MEDICINE PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-12",
        "last_updated": "2015-03-19",
        "status": "A",
        "authorized_official_last_name": "SALINAS",
        "authorized_official_first_name": "RUBEN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "714-695-1566",
        "authorized_official_credential": "PT, DPT"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "CA",
            "license": "14523",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GROUP MEDICARE ID",
            "identifier": "W17104",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Yorba Linda, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 19, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.