Active NPI
Daniel Moscoso Espiritu
- Physical Therapy Assistant
- San Francisco, CA
National Provider Identifier
1780244418
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapy Assistant
- License
- 10109
- Practice address
- 1575 7TH Ave
San Francisco, CA 94122-3704 - Phone
- (415) 566-1200
- NPI assigned
- Jun 14, 2019
- 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 Therapy Assistant | 225200000X | 10109 | CA | Primary |
Addresses
Primary practice location
1575 7TH Ave
San Francisco, CA 94122-3704
Mailing address
1699 19TH Ave
San Francisco, CA 94122-4517
Phone (818) 300-9338
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 10109 | Other | CA | PTBC |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | djespiritu | Direct |
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 |
|---|---|---|---|
| 10109 | CA | MD | Physical Therapy Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1560470400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1560470400000",
"number": "1780244418",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1699 19TH AVE",
"city": "SAN FRANCISCO",
"state": "CA",
"postal_code": "941224517",
"telephone_number": "818-300-9338"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1575 7TH AVE",
"city": "SAN FRANCISCO",
"state": "CA",
"postal_code": "941223704",
"telephone_number": "415-566-1200"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ESPIRITU",
"first_name": "DANIEL",
"middle_name": "MOSCOSO",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2019-06-14",
"last_updated": "2019-06-14",
"status": "A"
},
"taxonomies": [
{
"code": "225200000X",
"taxonomy_group": "",
"desc": "Physical Therapy Assistant",
"state": "CA",
"license": "10109",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PTBC",
"identifier": "10109",
"state": "CA"
}
],
"endpoints": [
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "djespiritu",
"affiliation": "N",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "idk",
"address_1": "1575 7th Ave",
"city": "San Francisco",
"state": "CA",
"country_code": "US",
"postal_code": "941223704",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in San Francisco, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 14, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.