Individual provider Active NPI

Joseph A Lestino

  • Physical Therapist
  • La Mesa, CA
National Provider Identifier
1740308360
Registry record updated Mar 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT 33613 Issued in CA
Practice address
5648 Lake Murray Blvd
La Mesa, CA 91942-1929
Phone
(619) 464-1352
Fax
(619) 464-7255
NPI assigned
Mar 26, 2007
Last updated
Mar 17, 2018By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 17, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X PT 33613 CA Primary

Addresses

Primary practice location

5648 Lake Murray Blvd
La Mesa, CA 91942-1929

Mailing address

5648 Lake Murray Blvd
La Mesa, CA 91942-1929
Phone (619) 464-1352

Other practice location 1

8939 La Mesa Blvd
1
LA Mesa, CA 91942-9057
Phone (619) 464-1352

Other practice location 2

8939 La Mesa Blvd
1
LA Mesa, CA 91942-9057
Phone (619) 464-1352

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120221000992 CA Practitioner - Physical Therapist in Private Practice 0941468094 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Loma Linda University School of Medicine, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

5648 Lake Murray Blvd
La Mesa, CA 91942-1929
Phone (619) 464-1352

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PT 33613CAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Select San Diego Physical Therapy, PC. CurrentSince Oct 1, 2022 Accepting new patients
Select San Diego Physical Therapy, PC. Current Accepting new patients
Select San Diego Physical Therapy, PC. Physical Therapist CurrentSince Oct 1, 2022 Accepting new patients
La Mesa Physical Therapy, Inc Past Accepting new patients

Locations

2060 Otay Lakes Rd
Ste 110
Chula Vista, CA 91913
Phone (619) 373-9222

5648 Lake Murray Blvd
La Mesa, CA 91942
Phone (619) 464-1352

15525 Pomerado Rd
Ste C8
Poway, CA 92064
Phone (858) 674-4263

11512 El Camino Real
Ste 110
San Diego, CA 92130
Phone (858) 793-1460

12250 El Camino Real
Ste 190
San Diego, CA 92130
Phone (858) 793-1460

16935 W Bernardo Dr
Ste 180
San Diego, CA 92127
Phone (858) 217-5837

3218 Governor Dr
San Diego, CA 92122
Phone (858) 453-3000

3737 Moraga Ave
Ste B117
San Diego, CA 92117
Phone (858) 270-0981

3939 Ruffin Rd
Ste 103
San Diego, CA 92123
Phone (858) 380-4185

4910 Directors Pl
Ste 370
San Diego, CA 92121
Phone (858) 554-0522

7625 Mesa College Dr
Ste 101
San Diego, CA 92111
Phone (858) 277-1113

400 S Melrose Dr
Ste 215
Vista, CA 92081
Phone (760) 509-9901

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1174867200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1740308360",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5648 LAKE MURRAY BLVD",
            "city": "LA MESA",
            "state": "CA",
            "postal_code": "919421929",
            "telephone_number": "619-464-1352",
            "fax_number": "619-464-7255"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5648 LAKE MURRAY BLVD",
            "city": "LA MESA",
            "state": "CA",
            "postal_code": "919421929",
            "telephone_number": "619-464-1352",
            "fax_number": "619-464-7255"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8939 La Mesa Blvd",
            "address_2": "1",
            "address_purpose": "LOCATION",
            "city": "LA Mesa",
            "state": "CA",
            "postal_code": "919429057",
            "country_code": "US",
            "telephone_number": "619-464-1352",
            "fax_number": "619-464-7255",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "8939 La Mesa Blvd",
            "address_2": "1",
            "address_purpose": "LOCATION",
            "city": "LA Mesa",
            "state": "CA",
            "postal_code": "919429057",
            "country_code": "US",
            "telephone_number": "619-464-1352",
            "fax_number": "619-464-7255",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LESTINO",
        "first_name": "JOSEPH",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-03-26",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "PT 33613",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in La Mesa, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; 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.