Individual provider Active NPI

Xeldon Vallan Braganca

  • Physical Therapist
  • Calabasas, CA
National Provider Identifier
1750264453
Registry record updated Jul 29, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
53851 Issued in CA
Practice address
23586 Calabasas Rd Ste 103
Calabasas, CA 91302-1322
Phone
(818) 436-2293
NPI assigned
Jul 29, 2025
Last updated
Jul 29, 2025By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 29, 2025

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 53851 CA Primary

Addresses

Primary practice location

23586 Calabasas Rd Ste 103
Calabasas, CA 91302-1322

Mailing address

12771 Lorne St
North Hollywood, CA 91605-1138
Phone (818) 331-4036

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

LicenseStateTypeSpecialty
53851CAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Aj PT West Inc Physical Therapist CurrentSince Aug 3, 2025 Accepting new patients
Aj Physical Therapy Inc Physical Therapist CurrentSince Feb 13, 2026 Accepting new patients

Locations

16573 Ventura Blvd
Ste 8
Encino, CA 91436
Phone (818) 986-7266

23586 Calabasas Rd
Ste 103
Hidden Hills, CA 91302
Phone (818) 436-2293

Organizations & group practices 2

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": "1753747200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1753747200000",
    "number": "1750264453",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12771 LORNE ST",
            "city": "NORTH HOLLYWOOD",
            "state": "CA",
            "postal_code": "916051138",
            "telephone_number": "818-331-4036"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23586 CALABASAS RD STE 103",
            "city": "CALABASAS",
            "state": "CA",
            "postal_code": "913021322",
            "telephone_number": "818-436-2293"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRAGANCA",
        "first_name": "XELDON",
        "middle_name": "VALLAN",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2025-07-29",
        "last_updated": "2025-07-29",
        "certification_date": "2025-07-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "53851",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Calabasas, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 29, 2025; 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.