Larry Machmud, P.T.

Primary specialty

Sports Medicine (Physical Medicine & Rehabilitation) PhysicianTaxonomy code 2081S0010X

License

39344 Issued in CA

Practice address

12730 Heacock St
4B
Moreno Valley, CA 92553-3070

Phone

(951) 924-8300

Fax

(951) 924-8331

NPI assigned

Oct 22, 2013

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Adorador Enterprises Inc

  • Physical Therapy Clinic/Center
  • Beaumont, CA
  • NPI 1861402950
  NPD (past)

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

{
    "created_epoch": "1382400000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1382400000000",
    "number": "1801224233",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1676 E 6TH ST",
            "address_2": "SUITE C",
            "city": "BEAUMONT",
            "state": "CA",
            "postal_code": "922235760",
            "telephone_number": "951-769-0300",
            "fax_number": "951-769-2811"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12730 HEACOCK ST",
            "address_2": "4B",
            "city": "MORENO VALLEY",
            "state": "CA",
            "postal_code": "925533070",
            "telephone_number": "951-924-8300",
            "fax_number": "951-924-8331"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MACHMUD",
        "first_name": "LARRY",
        "credential": "P.T.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-10-22",
        "last_updated": "2013-10-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2081S0010X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation, Sports Medicine",
            "state": "CA",
            "license": "39344",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• M&J Medical Transportation Corp
• Alfred C. Ma, M.D.
• Macaria Padilla
• Ryan Macavinta, FNP
• Macgrace LLC
• Ana Macias
• Meliza Bridget Maciel Munoz
• Gabriela Duran Maciel, MSW
• Williemae Maciel, CADCII A061230422
• Elizabeth Madrid

• Sports Medicine (Physical Medicine & Rehabilitation) Physician in Moreno Valley, CA
• Providers in Moreno Valley, CA by specialty
• Sports Medicine (Physical Medicine & Rehabilitation) Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 22, 2013; 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.