Keilyn Tanimoto, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

291346 Issued in CA

Practice address

5425 Pomona Blvd
East Los Angeles, CA 90022-1716

Phone

(401) 662-6114

NPI assigned

Jun 1, 2016

Sex

Female

Sole proprietor

Yes

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.

• C and a Health Services

  • Physical Therapy Clinic/Center
  • Santa Ana, CA
  • NPI 1093931883
  NPD (past)

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

{
    "created_epoch": "1464739200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1464739200000",
    "number": "1801244777",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "94-1049 HANAUNA ST",
            "city": "WAIPAHU",
            "state": "HI",
            "postal_code": "967974702",
            "telephone_number": "808-348-0253"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5425 POMONA BLVD",
            "city": "EAST LOS ANGELES",
            "state": "CA",
            "postal_code": "900221716",
            "telephone_number": "401-662-6114"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TANIMOTO",
        "first_name": "KEILYN",
        "credential": "DPT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-06-01",
        "last_updated": "2016-06-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "291346",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Estella Sneider, PH.D.
• Soul Practice Licensed Clinical Social Worker PC (Soul Practice Group)
• Spectera
• Dabrina L Suttle
• Mintra Tan, D.D.S.
• Cindy Joana Tapia-Mendoza
• Valeria Del Rocio Temblador
• Dao Tien Truong
• Gisela Valenzuela
• Anthony Ray Wallace

• Physical Therapist in East Los Angeles, CA
• Providers in East Los Angeles, CA by specialty
• Physical Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 1, 2016; 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.