Alvin Lazaro Banzuela, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT24628 Issued in CA

Practice address

2427 Gramercy Ave
Torrance, CA 90501-4445

Phone

(310) 328-1084

NPI assigned

Mar 26, 2007

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Thera- PRN Professional name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Pioneer Care Home Inc.

  • Assisted Living Facility
  • Long Beach, CA
  • NPI 1104707835
  NPD Authorized official

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

{
    "created_epoch": "1174867200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1740308154",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2427 GRAMERCY AVE",
            "city": "TORRANCE",
            "state": "CA",
            "postal_code": "905014445",
            "telephone_number": "310-328-1084"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2427 GRAMERCY AVE",
            "city": "TORRANCE",
            "state": "CA",
            "postal_code": "905014445",
            "telephone_number": "310-328-1084"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BANZUELA",
        "first_name": "ALVIN",
        "middle_name": "LAZARO",
        "name_prefix": "Mr.",
        "credential": "PT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-03-26",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "PT24628",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "THERA-",
            "last_name": "PRN",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Natasha Banerjee, M.D.
• Gaurav Banka, MD
• Lori Prakash Banka, D.O.
• Rhonda Lee Banks-Moore, RRT
• Marsha K Bannon
• Darwin Baquir
• Egla Ivonne Barahona, D.A
• Enrique Barajas
• Luciano Barajas, M.D.
• Rosa S Barajas

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.