Individual provider Active NPI

Lougel Barruga, PT

  • Physical Therapist
  • Downey, CA
National Provider Identifier
1801203161
Registry record updated Jul 18, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT30418 Issued in CA
Practice address
7340 Firestone Blvd
Downey, CA 90241-4100
Phone
(562) 927-5820
NPI assigned
Jul 18, 2014
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 18, 2014

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 PT30418 CA Primary

Addresses

Primary practice location

7340 Firestone Blvd
Downey, CA 90241-4100

Mailing address

1735 N Avenue 53
Los Angeles, CA 90042-1101
Phone (323) 695-0462

Other identifiers 1

IdentifierTypeStateIssuer
PT30418OtherCAPTB

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150608002651 CA Practitioner - Physical Therapist in Private Practice 2860713468 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Manale Rehabilitation Network IncGroup PAC ID 0749676138, 6 clinicians

Practice addresses (Care Compare)

3680 E Imperial Hwy
Suite 350
Lynwood, CA 90262-2662
Phone 3102206108100

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PT30418CAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Manale Rehabilitation Network Inc Physical Therapist CurrentSince Dec 22, 2023 Accepting new patients
New Age Enterprises CurrentSince Dec 1, 2014 Accepting new patients
New Age Enterprises CurrentSince Dec 1, 2014 Accepting new patients

Locations

17042 Bellflower Blvd
Bellflower, CA 90706
Phone (562) 991-1324

7320 Firestone Blvd
Ste 105
Downey, CA 90241
Phone 5629275820 ext. 100

5161 Pomona Blvd
Ste 108109
Los Angeles, CA 90022
Phone 3238957872 ext. 201

3680 E Imperial Hwy
Ste 350
Lynwood, CA 90262
Phone 3102206108100

817 W Beverly Blvd
Ste 201
Montebello, CA 90640
Phone (562) 991-1324

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1405641600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1405641600000",
    "number": "1801203161",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1735 N AVENUE 53",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900421101",
            "telephone_number": "323-695-0462"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7340 FIRESTONE BLVD",
            "city": "DOWNEY",
            "state": "CA",
            "postal_code": "902414100",
            "telephone_number": "562-927-5820"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BARRUGA",
        "first_name": "LOUGEL",
        "credential": "PT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2014-07-18",
        "last_updated": "2014-07-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "PT30418",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PTB",
            "identifier": "PT30418",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Downey, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 18, 2014; 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.