Daniel Anahuac De la Rosa, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT7930 Issued in CA

Practice address

210 West College Street
Carter Physical Therapy
Covina, CA 91723

Phone

(626) 967-7833

Fax

(626) 859-2633

NPI assigned

Apr 9, 2007

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Networks

• BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

• Direct secure messaging: daniel.delarosa.p1@direct.lakeside.nextgenshare.com

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.

• Lakeside Medical Associates, a Medical Group, Inc.

  • Rheumatology Physician
  • Burbank, CA
  • NPI 1861499535
  NPD (past)

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

{
    "created_epoch": "1176076800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1382659200000",
    "number": "1700909355",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1810 E LINDA VISTA ST",
            "city": "WEST COVINA",
            "state": "CA",
            "postal_code": "917913508",
            "telephone_number": "626-919-0124",
            "fax_number": "626-919-0124"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "210 WEST COLLEGE STREET",
            "address_2": "CARTER PHYSICAL THERAPY",
            "city": "COVINA",
            "state": "CA",
            "postal_code": "91723",
            "telephone_number": "626-967-7833",
            "fax_number": "626-859-2633"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DE LA ROSA",
        "first_name": "DANIEL",
        "middle_name": "ANAHUAC",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-04-09",
        "last_updated": "2013-10-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "PT7930",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alicia De Dios
• Tatianna Elisa De Franco, RN
• Melinda Thomas De Jesus, OD, MS
• Adela De la Cerda
• Kaylee De la Cerda
• Maria De la Rosa
• Susana Elysabeth De la Torre
• Katherine C De Leon
• Jacqueline Roldan De Los Reyes, RD, CLE
• Katherine De Luna

• Physical Therapist in Covina, CA
• Providers in Covina, CA by specialty
• Physical Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 25, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.