Doreena Fe Viduya Taeza, PHYSICAL THERAPIST

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

32855 Issued in CA

Practice address

13922 Cerise Ave
Hawthorne, CA 90250-8688

Phone

(310) 675-3304

NPI assigned

Aug 5, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1154736000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1421020800000",
    "number": "1780693408",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "512 W IMPERIAL AVE APT 1",
            "city": "EL SEGUNDO",
            "state": "CA",
            "postal_code": "902452102",
            "telephone_number": "310-651-0676"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13922 CERISE AVE",
            "city": "HAWTHORNE",
            "state": "CA",
            "postal_code": "902508688",
            "telephone_number": "310-675-3304"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TAEZA",
        "first_name": "DOREENA FE",
        "middle_name": "VIDUYA",
        "credential": "PHYSICAL THERAPIST",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-05",
        "last_updated": "2015-01-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "32855",
            "primary": true
        },
        {
            "code": "2251X0800X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Orthopedic",
            "state": "CA",
            "license": "32855",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Yumi Sugiyama, PT
• Sun Rise Hospice Care LLC
• Susan Manavi, DDS, Inc
• Michael Sutcliffe Jr., PT
• Jennifer Swan, DPT
• Robin Takashima
• Rhea Riza Talaver, PTA
• Kimberly Tang, MA, LMFT, ET
• Joseph Ngwa Tanifor, NURSE PRACTITIONER
• Tardguila Chiropractic Professional Corp.

• Physical Therapist in Hawthorne, CA
• Providers in Hawthorne, CA by specialty
• Physical Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 12, 2015; 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.