Active NPI
Ryan Robert Mendiola Claros, DPT
- Physical Therapist
- Menifee, CA
National Provider Identifier
1811245541
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT 39454
- Practice address
- 30141 Antelope Rd
Ste. a
Menifee, CA 92584-7001 - Phone
- (951) 723-1866
- Fax
- (951) 723-1867
- NPI assigned
- Aug 28, 2012
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | PT 39454 | CA | Primary |
Addresses
Primary practice location
30141 Antelope Rd
Ste. a
Menifee, CA 92584-7001
Mailing address
24630 Washington Ave
Ste. 200
Murrieta, CA 92562-6131
Phone (951) 696-9353
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PT 39454 | CA | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| All Star Physical Therapy | Physical Therapist | Past | Accepting new patients |
| Rancho Physical Therapy, Inc. | Physical Therapist | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Physical Therapist
- Murrieta, CA
- NPI 1750559431
-
- Physical Therapist
- Temecula, CA
- NPI 1679541320
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1346112000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1348185600000",
"number": "1811245541",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "24630 WASHINGTON AVE",
"address_2": "STE. 200",
"city": "MURRIETA",
"state": "CA",
"postal_code": "925626131",
"telephone_number": "951-696-9353",
"fax_number": "951-973-7216"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "30141 ANTELOPE RD",
"address_2": "STE. A",
"city": "MENIFEE",
"state": "CA",
"postal_code": "925847001",
"telephone_number": "951-723-1866",
"fax_number": "951-723-1867"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CLAROS",
"first_name": "RYAN ROBERT",
"middle_name": "MENDIOLA",
"credential": "DPT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2012-08-28",
"last_updated": "2012-09-21",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "CA",
"license": "PT 39454",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Menifee, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 21, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.