Active NPI
Thomas V Deguzman, PT, a Professional Corp
- Physical Therapy Clinic/Center
- West Covina, CA
National Provider Identifier
1720034069
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapy Clinic/Center
- License
- PT14506
- Legal business name
- THOMAS V DEGUZMAN, PT, A PROFESSIONAL CORP
- Practice address
- 410 E Merced Ave
Suite E
West Covina, CA 91790-5058 - Phone
- (626) 918-1776
- Fax
- (626) 917-0890
- NPI assigned
- May 26, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Ramona Lipa Deguzman
- Title
- Administrator
- Phone
- (626) 918-1776
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapy Clinic/Center | 261QP2000X | PT14506 | CA | Primary |
Addresses
Primary practice location
410 E Merced Ave
Suite E
West Covina, CA 91790-5058
Mailing address
410 E Merced Ave
Suite E
West Covina, CA 91790-5058
Phone (626) 918-1776
Other names 1
- Preferred Rehab Center
National Provider Directory
National Provider Directory- Tax ID family
- Preferred Rehab Center
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Physical Therapy Clinic/Center
- Tustin, CA
- NPI 1770523979
Locations
410 E Merced Ave
Ste E
West Covina, CA 91790
Phone (626) 664-2570
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1148601600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1720034069",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "410 E MERCED AVE",
"address_2": "SUITE E",
"city": "WEST COVINA",
"state": "CA",
"postal_code": "917905058",
"telephone_number": "626-918-1776",
"fax_number": "626-917-0890"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "410 E MERCED AVE",
"address_2": "SUITE E",
"city": "WEST COVINA",
"state": "CA",
"postal_code": "917905058",
"telephone_number": "626-918-1776",
"fax_number": "626-917-0890"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "THOMAS V DEGUZMAN, PT, A PROFESSIONAL CORP",
"organizational_subpart": "NO",
"enumeration_date": "2006-05-26",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "DEGUZMAN",
"authorized_official_first_name": "RAMONA",
"authorized_official_middle_name": "LIPA",
"authorized_official_title_or_position": "ADMINISTRATOR",
"authorized_official_telephone_number": "626-918-1776"
},
"taxonomies": [
{
"code": "261QP2000X",
"taxonomy_group": "",
"desc": "Clinic/Center, Physical Therapy",
"state": "CA",
"license": "PT14506",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Preferred Rehab Center",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in West Covina, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.