Active NPI
Lance Inouye
- Physical Therapist
- Laguna Hills, CA
National Provider Identifier
1760899512
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 34284
- Practice address
- 24422 Avenida de la Carlota
165
Laguna Hills, CA 92653-3636 - Phone
- (949) 951-2770
- NPI assigned
- Jul 14, 2014
- Sex
- Male
- Sole proprietor
- No
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 | 34284 | CA | Primary |
Addresses
Primary practice location
24422 Avenida de la Carlota
165
Laguna Hills, CA 92653-3636
Mailing address
2439 Paseo Circulo
Tustin, CA 92782-9013
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
| License | State | Type | Specialty |
|---|---|---|---|
| 34284 | CA | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1405296000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1405296000000",
"number": "1760899512",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2439 PASEO CIRCULO",
"city": "TUSTIN",
"state": "CA",
"postal_code": "927829013"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "24422 AVENIDA DE LA CARLOTA",
"address_2": "165",
"city": "LAGUNA HILLS",
"state": "CA",
"postal_code": "926533636",
"telephone_number": "949-951-2770"
}
],
"practiceLocations": [],
"basic": {
"last_name": "INOUYE",
"first_name": "LANCE",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2014-07-14",
"last_updated": "2014-07-14",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "CA",
"license": "34284",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Laguna Hills, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 14, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.