Alessandra Dibernardo, PTA

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

48832 Issued in CA

Practice address

23456 Hawthorne Blvd Ste 300
Torrance, CA 90505-4716

Phone

(310) 540-7381

NPI assigned

Oct 25, 2017

Sex

Female

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)

Not enrolled

State licenses

Interoperability endpoints

• Direct secure messaging: ali.dibernardopta.p1@direct.bpasten.nextgenshare.com

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

{
    "created_epoch": "1508889600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1508889600000",
    "number": "1801308283",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23456 HAWTHORNE BLVD STE 300",
            "city": "TORRANCE",
            "state": "CA",
            "postal_code": "905054716",
            "telephone_number": "310-540-7381"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23456 HAWTHORNE BLVD STE 300",
            "city": "TORRANCE",
            "state": "CA",
            "postal_code": "905054716",
            "telephone_number": "310-540-7381"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DIBERNARDO",
        "first_name": "ALESSANDRA",
        "credential": "PTA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-10-25",
        "last_updated": "2017-10-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "CA",
            "license": "48832",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lucia Diaz, NP
• Luis Alejandro Diaz Sr.
• Natalie Diaz, M.D.
• Roxanne Diaz
• Taylor Diaz, PA-C
• Russell Dickerson, M.D.
• Vanessa Lynn Dickey, MD
• Natalie Jeanette Dicks, BA, MA
• Domenic Didomenicantonio, DC
• Kimberly Didomenicantonio, DC

• Physical Therapy Assistant in Torrance, CA
• Providers in Torrance, CA by specialty
• Physical Therapy Assistant in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 25, 2017; 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.