Heriberto Revuelta

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

38928 Issued in CA

Practice address

3800 Geer Rd
Turlock, CA 95382-1146

Phone

(209) 667-1729

NPI assigned

Aug 5, 2012

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2011

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

California Luna Care Physical Therapy PCGroup PAC ID 9638427834, 769 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• California Luna Care Physical Therapy PC

  • Physical Therapist
  • Los Gatos, CA
  • NPI 1689162166
  Medicare reassignment Care Compare group NPD
• Golden Bear Physical Therapy Sports Injury Center, Inc

  • Physical Therapy Clinic/Center
  • Modesto, CA
  • NPI 1811084676

  Physical Therapist

  Medicare reassignment NPD
• Permanente Medical Group Inc

  • Internal Medicine Physician
  • Santa Clara, CA
  • NPI 1073606299
  Medicare reassignment NPD
• Permanente Medical Group Inc

  • Internal Medicine Physician
  • Redwood City, CA
  • NPI 1639252604
  NPD
• Permanente Medical Group, Inc

  • Clinical Medical Laboratory
  • San Jose, CA
  • NPI 1497971584
  NPD
• Body in Balance Physical Therapy, Inc.

  • Physical Therapy Clinic/Center
  • Fairfield, CA
  • NPI 1811982747

  Physical Therapist

  NPD (past)
• Gold Country Therapies, Inc

  • Physical Therapy Clinic/Center
  • Valley Springs, CA
  • NPI 1447658067
  NPD (past)
• Physiomotion Physical Therapy, Inc.

  • Physical Therapist
  • Fresno, CA
  • NPI 1346301751
  NPD (past)

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

{
    "created_epoch": "1344124800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1344124800000",
    "number": "1730436114",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3800 GEER RD",
            "city": "TURLOCK",
            "state": "CA",
            "postal_code": "953821146"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3800 GEER RD",
            "city": "TURLOCK",
            "state": "CA",
            "postal_code": "953821146",
            "telephone_number": "209-667-1729"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REVUELTA",
        "first_name": "HERIBERTO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-08-05",
        "last_updated": "2012-08-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "38928",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Remya Niranjan DDS, Ms, Inc
• Remya Niranjan, a Dental Corporation
• Kirk Alan Renshaw, DMD
• Melvyn Scott Renshaw, DDS
• Beatrice Renteria
• Nia Hellen Reyes
• Randi Mary Reyes
• Reza Vafadouste MD a Medical Corporation
• Reza Vafadouste MD a Medical Corporation
• Ali H Reza, MD

• Physical Therapist in Turlock, CA
• Providers in Turlock, CA by specialty
• Physical Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 5, 2012; 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.

Verify at the official NPI Registry.