Active NPI
Civillani Dela Pena Layos
- Physical Therapist
- Fontana, CA
National Provider Identifier
1760782080
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 28911
- Practice address
- 15362 Garfield Dr
Fontana, CA 92336-4015 - Phone
- (909) 574-6192
- Fax
- (909) 574-6192
- NPI assigned
- Nov 3, 2010
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 28911 | CA | Primary |
Addresses
Primary practice location
15362 Garfield Dr
Fontana, CA 92336-4015
Mailing address
15362 Garfield Dr
Fontana, CA 92336-4015
Phone (909) 574-6192
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)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Civillani D. Layos | Past | Accepting new patients | |
| United Therapy Network | Past | Accepting new patients |
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.
-
dba rancho specialty hospital
- Rehabilitation Hospital
- Rancho Cucamonga, CA
- NPI 1568546711
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1288742400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1288742400000",
"number": "1760782080",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "15362 GARFIELD DR",
"city": "FONTANA",
"state": "CA",
"postal_code": "923364015",
"telephone_number": "909-574-6192",
"fax_number": "909-574-6192"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "15362 GARFIELD DR",
"city": "FONTANA",
"state": "CA",
"postal_code": "923364015",
"telephone_number": "909-574-6192",
"fax_number": "909-574-6192"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LAYOS",
"first_name": "CIVILLANI",
"middle_name": "DELA PENA",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2010-11-03",
"last_updated": "2010-11-03",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "CA",
"license": "28911",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Fontana, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 3, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.