Individual provider Active NPI

Andrew Robert Siva, P.T., D.P.T.

  • Physical Therapist
  • Temecula, CA
National Provider Identifier
1790221570
Registry record updated Jan 8, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
292794 Issued in CA
Practice address
31515 Rancho Pueblo Rd Ste 101
Temecula, CA 92592
Phone
(951) 303-1414
Fax
(951) 303-1616
NPI assigned
Jan 17, 2017
Last updated
Jan 8, 2021By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 8, 2021

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 292794 CA Primary

Addresses

Primary practice location

31515 Rancho Pueblo Rd Ste 101
Temecula, CA 92592

Mailing address

315 Borden Rd
San Marcos, CA 92069-5708
Phone (760) 803-7686

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20170228000569 CA Practitioner - Physical Therapist in Private Practice 8325322969 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
All Star Physical TherapyGroup PAC ID 7719030949, 149 clinicians
Indian Health Council IncGroup PAC ID 5294644795, 21 clinicians

Practice addresses (Care Compare)

31515 Rancho Pueblo Rd
Suite 101
Temecula, CA 92592-4837
Phone (951) 303-1414

50100 Golsh Rd
Valley Center, CA 92082-5338
Phone (760) 749-1410

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
292794CAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
California Luna Care Physical Therapy PC Physical Therapist CurrentSince Jan 5, 2021 Accepting new patients
All Star Physical Therapy Physical Therapist CurrentSince Feb 6, 2017 Accepting new patients
Siva Performance and Wellness Physical Therapy PC Current Accepting new patients
Indian Health Council, Inc CurrentSince Jan 4, 2026 Accepting new patients
Elite Physical Therapy and Wellness, Inc. Physical Therapist PastSince Mar 7, 2021 Accepting new patients

Locations

16008 Kamana Rd
Ste 200
Apple Valley, CA 92307
Phone (760) 810-7767

215 S Hickory St
Ste 112
Escondido, CA 92025
Phone (760) 737-8460

589 E Elder St
Fallbrook, CA 92028
Phone (619) 723-3600

16185 Los Gatos Blvd
Ste 205
Los Gatos, CA 95032
Phone (408) 409-4167

24630 Washington Ave
Ste 201
Murrieta, CA 92562
Phone (951) 200-3620

1338 Main St
Ramona, CA 92065
Phone (760) 789-1400

32785 Temecula Pkwy
Ste 110
Temecula, CA 92592
Phone (951) 303-1414

27699 Jefferson Ave
Ste 202
Temecula, CA 92590
Phone (951) 506-1405

31515 Rancho Pueblo Rd
Ste 101
Temecula, CA 92592
Phone (951) 281-2901

29645 Rancho California Rd
Ste 234
Temecula, CA 92591
Phone (951) 506-3001

50100 Golsh Rd
Valley Center, CA 92082
Phone (760) 749-1410

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1484611200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1610064000000",
    "number": "1790221570",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "315 BORDEN RD",
            "city": "SAN MARCOS",
            "state": "CA",
            "postal_code": "920695708",
            "telephone_number": "760-803-7686"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "31515 RANCHO PUEBLO RD STE 101",
            "city": "TEMECULA",
            "state": "CA",
            "postal_code": "92592",
            "telephone_number": "951-303-1414",
            "fax_number": "951-303-1616"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SIVA",
        "first_name": "ANDREW",
        "middle_name": "ROBERT",
        "credential": "P.T., D.P.T.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-01-17",
        "last_updated": "2021-01-08",
        "certification_date": "2021-01-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "292794",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Temecula, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 8, 2021; 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.