Individual provider Active NPI

Jeffrey Cipriano, PT

  • Physical Therapist
  • Granada Hills, CA
National Provider Identifier
1770949232
Registry record updated Jan 13, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
30431 Issued in CA
Practice address
11018 Benjamin LN
Granada Hills, CA 91344-3780
Phone
(818) 550-0395
NPI assigned
Jan 13, 2016
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 13, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 30431 CA Primary

Addresses

Primary practice location

11018 Benjamin LN
Granada Hills, CA 91344-3780

Mailing address

11018 Benjamin LN
Granada Hills, CA 91344-3780

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20180212002193 CA Practitioner - Physical Therapist in Private Practice 8527327675 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

11022 Balboa Blvd
Granada Hills, CA 91344-5007
Phone (818) 217-4482

18607 Ventura Blvd
Suite 106
Tarzana, CA 91356-4156
Phone (818) 975-8203

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
30431CAMDChiropractor

Practice roles (1 of 2)

OrganizationSpecialtyStatusNew patients
Ring of Salvation Hospice Care Inc PastSince Dec 1, 2017 Accepting new patients

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1452643200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1452643200000",
    "number": "1770949232",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11018 BENJAMIN LN",
            "city": "GRANADA HILLS",
            "state": "CA",
            "postal_code": "913443780"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11018 BENJAMIN LN",
            "city": "GRANADA HILLS",
            "state": "CA",
            "postal_code": "913443780",
            "telephone_number": "818-550-0395"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CIPRIANO",
        "first_name": "JEFFREY",
        "credential": "PT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2016-01-13",
        "last_updated": "2016-01-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "30431",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Granada Hills, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 13, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.