Active NPI
Elan Riches
- Orthopedic Physical Therapist
- Chino Hills, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthopedic Physical Therapist
- License
- PT28128
- Practice address
- 14932 Little Bend Rd
Chino Hills, CA 91709-3493 - Phone
- (951) 743-1386
- NPI assigned
- Aug 11, 2006
- Last updated
- Oct 6, 2021
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Orthopedic Physical Therapist | 2251X0800X | PT28128 | CA | Primary |
Addresses
Primary practice location
14932 Little Bend Rd
Chino Hills, CA 91709-3493
Mailing address
14932 Little Bend Rd
Chino Hills, CA 91709-3493
Other names 1
- Elan Peck
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2002
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
15325 Fairfield Ranch Rd
Suite 150
Chino Hills, CA 91709-8842
Phone (909) 557-1668
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PT28128 | CA | MD | Orthopedic Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| San Bernardino Medical Orthopaedic Group, Inc. | Current | Accepting new patients | |
| San Bernardino Medical Orthopaedic Group, Inc. | Physical Therapy | Current | Accepting new patients |
| Forgeron Physical Therapy | Past | Accepting new patients | |
| Forgeron Physical Therapy | Physical Therapy | Past | Accepting new patients |
| Caduceus Physicians Medical Group | Physical Therapy | Past | Accepting new patients |
| JM Physical Therapy Inc | Orthopedic | Past | Accepting new patients |
Locations
15325 Fairfield Ranch Rd
Ste 150
Chino Hills, CA 91709
Phone (909) 557-1668
1798 N Garey Ave
Pomona, CA 91767
Phone (909) 865-9810
1801 Orange Tree Ln
Ste 200
Redlands, CA 92374
Phone (909) 557-1607
1901 W Lugonia Ave
Ste 310
Redlands, CA 92374
Phone (909) 793-2964
Networks
- BSC 65 PLUS INDIVIDUAL MAPD
Organizations & group practices 7
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Arrowhead Orthopaedics
- Orthopaedic Surgery Physician
- Redlands, CA
- NPI 1336187475
Physical Therapy
-
- Geriatric Physical Therapist
- Laguna Niguel, CA
- NPI 1821104472
-
dba Arrowhead Orthopaedics
- Orthopaedic Surgery Physician
- Beaumont, CA
- NPI 1235964537
-
- Family Medicine Physician
- Yorba Linda, CA
- NPI 1497702724
Physical Therapy
-
- Physical Therapist
- Indio, CA
- NPI 1265517148
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1155254400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1633478400000",
"number": "1730190729",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "14932 LITTLE BEND RD",
"city": "CHINO HILLS",
"state": "CA",
"postal_code": "917093493"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "14932 LITTLE BEND RD",
"city": "CHINO HILLS",
"state": "CA",
"postal_code": "917093493",
"telephone_number": "951-743-1386"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RICHES",
"first_name": "ELAN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-08-11",
"last_updated": "2021-10-06",
"certification_date": "2021-10-06",
"status": "A"
},
"taxonomies": [
{
"code": "2251X0800X",
"taxonomy_group": "",
"desc": "Physical Therapist, Orthopedic",
"state": "CA",
"license": "PT28128",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "ELAN",
"last_name": "PECK",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Chino Hills, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 6, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.