Active NPI
Eleanore Quisquino
- Physical Therapist
- Los Angeles, CA
National Provider Identifier
1770955650
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 26936
- Practice address
- 6070 W Pico Blvd
Los Angeles, CA 90035-2647 - Phone
- (323) 653-3980
- NPI assigned
- Oct 30, 2015
- Sex
- Female
- 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 | 26936 | CA | Primary |
Addresses
Primary practice location
6070 W Pico Blvd
Los Angeles, CA 90035-2647
Mailing address
1907 W Durness St
West Covina, CA 91790-3304
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 1996
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
1907 W Durness St
West Covina, CA 91790-3304
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 26936 | CA | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| West Pico Terrace Healthcare & Wellness Centre, LP | Physical Therapist | Current | Accepting new patients |
Locations
6070 W Pico Blvd
Los Angeles, CA 90035
Phone (323) 653-3980
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.
-
- Skilled Nursing Facility
- Los Angeles, CA
- NPI 1508266396
Physical Therapist
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1446163200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1761609600000",
"number": "1770955650",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1907 W DURNESS ST",
"city": "WEST COVINA",
"state": "CA",
"postal_code": "917903304"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6070 W PICO BLVD",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900352647",
"telephone_number": "323-653-3980"
}
],
"practiceLocations": [],
"basic": {
"last_name": "QUISQUINO",
"first_name": "ELEANORE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-10-30",
"last_updated": "2025-10-28",
"certification_date": "2025-10-28",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "CA",
"license": "26936",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Los Angeles, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 28, 2025; 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.