Kenshin Nagasaka, DPT

Primary specialty

Orthopedic Physical TherapistTaxonomy code 2251X0800X

License

306925 Issued in CA

Practice address

88 Bonita Rd
Chula Vista, CA 91910-3042

Phone

(619) 230-0855

NPI assigned

Sep 23, 2024

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

University of Southern California Keck School of Medicine, 2024

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Synergy Orthopedic Specialists IncGroup PAC ID 0941450498, 66 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Networks

• BSC 65 PLUS INDIVIDUAL MAPD

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.

• Synergy Orthopedic Specialists, Inc.

  • Specialist
  • San Diego, CA
  • NPI 1114282779

  Physical Therapy

  Medicare reassignment Care Compare group NPD
• Synergy Orthopedic Specialists, Inc.

  • Specialist
  • Temecula, CA
  • NPI 1194447888
  NPD

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

{
    "created_epoch": "1727049600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1727049600000",
    "number": "1699592410",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1475 SHOREACRES DR",
            "city": "CHULA VISTA",
            "state": "CA",
            "postal_code": "919152142",
            "telephone_number": "310-938-0765"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "88 BONITA RD",
            "city": "CHULA VISTA",
            "state": "CA",
            "postal_code": "919103042",
            "telephone_number": "619-230-0855"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NAGASAKA",
        "first_name": "KENSHIN",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2024-09-23",
        "last_updated": "2024-09-23",
        "certification_date": "2024-09-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2251X0800X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Orthopedic",
            "state": "CA",
            "license": "306925",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mustafa Khalid DDS Inc.
• Josiah Myers, PT, DPT
• Mypap
• David Myrick, LICSW
• Diana Naamo
• Kathleen T Nagel, R.N., N.P.
• Raymond David Nagey, LMFT
• Flora Loreto Najera, MA, PCCI
• Jesus Najera
• Stephen Paul Najera, DC

• Orthopedic Physical Therapist in Chula Vista, CA
• Providers in Chula Vista, CA by specialty
• Orthopedic Physical Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 23, 2024; 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.