Braden Miguel Salazar

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

53373 Issued in CA

Practice address

2488 Townsgate Rd Ste C
Westlake VLG, CA 91361-6113

Phone

(805) 910-9913

NPI assigned

Jul 29, 2024

Last updated

Jul 29, 2024By the provider in NPPES

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• X2 Performance Institute Inc.

  dba Live Athletics

  • Physical Therapist
  • Westlake Village, CA
  • NPI 1962755694
  NPD
• Evolution Physical Therapy, Inc

  • Physical Therapist
  • Culver City, CA
  • NPI 1174601116
  NPD (past)

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

{
    "created_epoch": "1722211200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1722211200000",
    "number": "1760211676",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24595 TOWN CENTER DR, SANTA CLARITA, CA 91355",
            "address_2": "3312",
            "city": "SANTA CLARITA",
            "state": "CA",
            "postal_code": "91355",
            "telephone_number": "661-857-2947"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2488 TOWNSGATE RD STE C",
            "city": "WESTLAKE VLG",
            "state": "CA",
            "postal_code": "913616113",
            "telephone_number": "805-910-9913"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SALAZAR",
        "first_name": "BRADEN",
        "middle_name": "MIGUEL",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2024-07-29",
        "last_updated": "2024-07-29",
        "certification_date": "2024-07-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "CA",
            "license": "53373",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nguyen MD Inc
• Ocd Anxiety Centers California LLC
• Orthopedic Medical Center
• Richard G Borquez
• Saints Healthcare Services
• Danielle Sanchez
• Emilie Siraki, AMFT
• Silvia Timen, D.D.S.
• Crescenciano Veliz Jr.

• Physical Therapy Assistant in Westlake VLG, CA
• Providers in Westlake VLG, CA by specialty
• Physical Therapy Assistant in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 29, 2024; 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.