Ma. Franchette Berna Custodio

Primary specialty

Physical Therapy Clinic/CenterTaxonomy code 261QP2000X

License

304001 Issued in CA

Practice address

2051 N Highland Ave
Los Angeles, CA 90068-1373

Phone

(323) 471-1237

NPI assigned

Aug 9, 2023

Sex

Female

Sole proprietor

Yes

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1691539200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1691539200000",
    "number": "1760165369",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1163 RAYMOND AVE APT 2",
            "city": "GLENDALE",
            "state": "CA",
            "postal_code": "912011823"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2051 N HIGHLAND AVE",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900681373",
            "telephone_number": "323-471-1237"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "580 S San Vicente Blvd",
            "address_purpose": "LOCATION",
            "city": "Los Angeles",
            "state": "CA",
            "postal_code": "900484621",
            "country_code": "US",
            "telephone_number": "323-782-1500",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CUSTODIO",
        "first_name": "MA. FRANCHETTE BERNA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-08-09",
        "last_updated": "2023-08-09",
        "certification_date": "2023-08-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "CA",
            "license": "304001",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Anna Cushing, MD
• Timothy Cushing, MD
• Lucas Allen Cushman
• Adam Custer, MD
• Leilani Custodio
• Custom RX Pharmacy
• Lucas Russell Cusumano
• Chelsea Abigail Dionisio Cutaran, CRNA
• Brianna Cuthbertson, RRT, RCP
• Laura Denise Cutler, MA, LMFT

• Physical Therapy Clinic/Center in Los Angeles, CA
• Providers in Los Angeles, CA by specialty
• Physical Therapy Clinic/Center in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 9, 2023; 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.