Individual provider Active NPI

Joyce Avila

  • Physical Medicine & Rehabilitation Physician
  • Merced, CA
National Provider Identifier
1770270480
Registry record updated Apr 21, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X
License
PT18133 Issued in CA
Practice address
786 Loughborough Dr
Merced, CA 95348-2626
Phone
(209) 725-8680
NPI assigned
Apr 21, 2023
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 21, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Medicine & Rehabilitation Physician 208100000X PT18133 CA Primary

Addresses

Primary practice location

786 Loughborough Dr
Merced, CA 95348-2626

Mailing address

2085 Arden LN
Merced, CA 95340-2635
Phone (209) 723-1960

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

State licenses

LicenseStateTypeSpecialty
PT18133CAMDPhysical Medicine & Rehabilitation Physician
18133CAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Yosemite Physical Therapy, Inc. CurrentSince Mar 15, 2024 Accepting new patients

Locations

786 Loughborough Dr
Merced, CA 95348
Phone (209) 725-8680

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1682035200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1682035200000",
    "number": "1770270480",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2085 ARDEN LN",
            "city": "MERCED",
            "state": "CA",
            "postal_code": "953402635",
            "telephone_number": "209-723-1960"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "786 LOUGHBOROUGH DR",
            "city": "MERCED",
            "state": "CA",
            "postal_code": "953482626",
            "telephone_number": "209-725-8680"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AVILA",
        "first_name": "JOYCE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-04-21",
        "last_updated": "2023-04-21",
        "certification_date": "2023-04-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "CA",
            "license": "PT18133",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Merced, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 21, 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.