Organization Active NPI

Christian Lama Medina Physical Therapy, Inc.

  • Physical Therapist
  • Artesia, CA
National Provider Identifier
1720175011
Registry record updated Sep 12, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT29198 Issued in CA
Legal business name
CHRISTIAN LAMA MEDINA PHYSICAL THERAPY, INC.
Practice address
18300 Gridley Rd Ste 301
Artesia, CA 90701-5401
Phone
(562) 924-0934
NPI assigned
Oct 6, 2006
Last updated
Sep 12, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 12, 2008

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

Authorized official

Name
Christian Lama Medina, RPTNPI 1104913789
Title
President
Phone
(562) 924-0934

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 TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 225100000X PT29198 CA Primary

Addresses

Primary practice location

18300 Gridley Rd Ste 301
Artesia, CA 90701-5401

Mailing address

18300 Gridley Rd Ste 301
Artesia, CA 90701-5401
Phone (562) 924-0934

National Provider Directory

National Provider Directory

Locations

18300 Gridley Rd
Ste 301
Artesia, CA 90701
Phone (310) 618-4915

1521 Cabrillo Ave
Torrance, CA 90501
Phone (310) 618-0936

Practitioners & affiliated clinicians

Practitioners 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1160092800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1221177600000",
    "number": "1720175011",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18300 GRIDLEY RD STE 301",
            "city": "ARTESIA",
            "state": "CA",
            "postal_code": "907015401",
            "telephone_number": "562-924-0934"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18300 GRIDLEY RD STE 301",
            "city": "ARTESIA",
            "state": "CA",
            "postal_code": "907015401",
            "telephone_number": "562-924-0934"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHRISTIAN LAMA MEDINA PHYSICAL THERAPY, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-06",
        "last_updated": "2008-09-12",
        "status": "A",
        "authorized_official_last_name": "MEDINA",
        "authorized_official_first_name": "CHRISTIAN",
        "authorized_official_middle_name": "LAMA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "562-924-0934",
        "authorized_official_credential": "RPT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "PT29198",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Artesia, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 12, 2008; 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.