Active NPI
Lala Keshishian
- Physical Therapist
- Rancho Cucamonga, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 300825
- Practice address
- 10470 Foothill Blvd Ste 101
Rancho Cucamonga, CA 91730-3754 - Phone
- (909) 948-0411
- Fax
- (909) 948-0511
- NPI assigned
- Aug 30, 2021
- Last updated
- Jul 25, 2024
- 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 | 300825 | CA | Primary |
Addresses
Primary practice location
10470 Foothill Blvd Ste 101
Rancho Cucamonga, CA 91730-3754
Mailing address
1845 Business Center Dr Ste 127
San Bernardino, CA 92408-3434
Phone (818) 424-6464
Other practice location 1
500 N Central Ave Ste 850
Glendale, CA 91203-3354
Phone (818) 549-9764
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| United Therapy Network Incorporated | Physical Therapist | Current | Accepting new patients |
| United Therapy Network Incorporated | Physical Therapist | Current | Accepting new patients |
| United Therapy Network Incorporated | Physical Therapist | Current | Accepting new patients |
Locations
802 Magnolia Ave
Ste 107
Corona, CA 92879
Phone (951) 340-0070
500 N Central Ave
Ste 850
Glendale, CA 91203
Phone (818) 549-9764
1902 Royalty Dr
Ste 220
Pomona, CA 91767
Phone (909) 570-3108
10470 Foothill Blvd
Ste 101
Rancho Cucamonga, CA 91730
Phone (909) 948-0411
1845 Business Center Dr
Ste 127
Sn Bernrdno, CA 92408
Phone (909) 890-9030
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Physical Therapist
- Corona, CA
- NPI 1669691051
-
- Physical Therapist
- Pomona, CA
- NPI 1275811085
-
dba United Therapy Network, Inc.
- Physical Therapist
- Riverside, CA
- NPI 1629693619
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1630281600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1721865600000",
"number": "1780352443",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1845 BUSINESS CENTER DR STE 127",
"city": "SAN BERNARDINO",
"state": "CA",
"postal_code": "924083434",
"telephone_number": "818-424-6464",
"fax_number": "909-890-4393"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10470 FOOTHILL BLVD STE 101",
"city": "RANCHO CUCAMONGA",
"state": "CA",
"postal_code": "917303754",
"telephone_number": "909-948-0411",
"fax_number": "909-948-0511"
}
],
"practiceLocations": [
{
"address_1": "500 N Central Ave Ste 850",
"address_purpose": "LOCATION",
"city": "Glendale",
"state": "CA",
"postal_code": "912033354",
"country_code": "US",
"telephone_number": "818-549-9764",
"fax_number": "818-549-9767",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "KESHISHIAN",
"first_name": "LALA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-08-30",
"last_updated": "2024-07-25",
"certification_date": "2024-07-25",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "CA",
"license": "300825",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Rancho Cucamonga, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 25, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.