Cyan Agena, PT, DPT
Individual provider Active NPI Physical Therapist · Temecula, CA
NPI 1710466008 · NPPES record last updated Sep 29, 2021
Key facts
- NPI
- 1710466008
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Therapist 225100000X
- Practice address
- 27699 Jefferson Ave Ste 202
Temecula, CA 92590-2697 - Phone
- (951) 506-1405
- Fax
- (951) 506-1406
- NPI assigned
- Aug 8, 2018
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 4
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in CA
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20191108000547 | CA | Practitioner - Physical Therapist in Private Practice | 5890127088 | Reassigns benefits to 3 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
Practice roles (4 of 5)
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| California Luna Care Physical Therapy PC | Physical Therapist | Current |
Accepting new patients |
| Elite Physical Therapy and Wellness, Inc. | Physical Therapist | Current |
Accepting new patients |
| North County & Escondido Physical Therapy Inc | Physical Therapist | Current |
Accepting new patients |
| All Star Physical Therapy | Physical Therapist | Current |
Accepting new patients |
Locations
16008 Kamana Rd
Ste 200
Apple Valley, CA 92307
Phone (760) 810-7767
457 N Elm St
Escondido, CA 92025
Phone (760) 489-1969
16185 Los Gatos Blvd
Ste 205
Los Gatos, CA 95032
Phone (408) 459-8108
25136 Hancock Ave
Ste A
Murrieta, CA 92562
Phone (951) 296-9801
24630 Washington Ave
Ste 201
Murrieta, CA 92562
Phone (951) 200-3620
1338 Main St
Ramona, CA 92065
Phone (760) 789-1400
27699 Jefferson Ave
Ste 202
Temecula, CA 92590
Phone (951) 506-1405
29645 Rancho California Rd
Ste 234
Temecula, CA 92591
Phone (951) 506-3001
Networks
- BSC 65 PLUS INDIVIDUAL MAPD
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | Yes |
Addresses
Primary practice location
27699 Jefferson Ave Ste 202
Temecula, CA 92590-2697
Mailing address
24630 Washington Ave Ste 201
Murrieta, CA 92562-6177
Phone (951) 200-3620
Other practice location 1
220 Encanto Dr
Escondido, CA 92027-3520
Phone (808) 428-0200
Other providers in Temecula, CA
- Advanced Management Practice Physician Assistant Corporation
- Advanced Orthopaedic Surgery Center
- Advanced Traditional Acupuncture
- Advanta Senior Care, Inc
- Afog, Inc.
- Nina Marie Aghakhani
- Robin M Aghbashian
- Rozeta Aglione
- Agm Medical Group, P.C.
- Jason Agnetti
All providers in Temecula, CA · Physical Therapist in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 29, 2021. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.