Active NPI
Isaiah Pagcaliwangan
- Physical Therapy Assistant
- Huntington Park, CA
National Provider Identifier
1720853856
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapy Assistant
- License
- 52769
- Practice address
- 6425 Miles Ave
Huntington Park, CA 90255-4315 - Phone
- (213) 589-5941
- NPI assigned
- Nov 20, 2023
- Last updated
- Nov 20, 2023
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapy Assistant | 225200000X | 52769 | CA | Primary |
Addresses
Primary practice location
6425 Miles Ave
Huntington Park, CA 90255-4315
Mailing address
3315 W Hellman Ave
Alhambra, CA 91803-2556
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 52769 | CA | MD | General Practice Dentistry |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1700438400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1700438400000",
"number": "1720853856",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3315 W HELLMAN AVE",
"city": "ALHAMBRA",
"state": "CA",
"postal_code": "918032556"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6425 MILES AVE",
"city": "HUNTINGTON PARK",
"state": "CA",
"postal_code": "902554315",
"telephone_number": "213-589-5941"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PAGCALIWANGAN",
"first_name": "ISAIAH",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2023-11-20",
"last_updated": "2023-11-20",
"certification_date": "2023-11-18",
"status": "A"
},
"taxonomies": [
{
"code": "225200000X",
"taxonomy_group": "",
"desc": "Physical Therapy Assistant",
"state": "CA",
"license": "52769",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Huntington Park, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 20, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.