Individual provider Active NPI

Christian Enriquez Dizon, PT, D.P.T.

  • Physical Therapist
  • Pasadena, CA
National Provider Identifier
1811378490
Registry record updated Jan 18, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
42426 Issued in CA
Practice address
257 S Fair Oaks Ave Ste 210
Pasadena, CA 91105-4125
Phone
(626) 585-1345
NPI assigned
Jun 9, 2015
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 18, 2019

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 42426 CA Primary

Addresses

Primary practice location

257 S Fair Oaks Ave Ste 210
Pasadena, CA 91105-4125

Mailing address

257 S Fair Oaks Ave Ste 210
Pasadena, CA 91105-4125
Phone (626) 585-1345

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20170811001449 CA Practitioner - Physical Therapist in Private Practice 4688945496 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Select CS Physical Therapy PCGroup PAC ID 1355742081, 177 clinicians

Practice addresses (Care Compare)

257 S Fair Oaks Ave
Suite 120
Pasadena, CA 91105-4123
Phone (626) 585-1345

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Select CS Physical Therapy, P.C. CurrentSince Jul 1, 2021 Accepting new patients
Select CS Physical Therapy, P.C. Physical Therapist Current Accepting new patients
Select CS Physical Therapy, P.C. Physical Therapist CurrentSince Jul 1, 2021 Accepting new patients
Select CS Physical Therapy, P.C. Physical Therapist Past Accepting new patients
Matrix Rehabilitation, Inc. PastSince Jan 1, 2019 Accepting new patients

Locations

431 W 7th St
Fl 7
Los Angeles, CA 90014
Phone (213) 624-3556

4640 Admiralty Way
Ste 420
Marina del Rey, CA 90292
Phone (424) 526-5151

1310 W Stewart Dr
Ste 404
Orange, CA 92868
Phone (714) 707-6466

257 S Fair Oaks Ave
Ste 120
Pasadena, CA 91105
Phone (626) 585-1345

935 E Ridgecrest Blvd
Ridgecrest, CA 93555
Phone (760) 371-1411

2001 Wilshire Blvd
Ste 310
Santa Monica, CA 90403
Phone (310) 829-3320

299 W Foothill Blvd
Ste 200
Upland, CA 91786
Phone (909) 608-0678

Organizations & group practices 5

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": "1433808000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1547769600000",
    "number": "1811378490",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "257 S FAIR OAKS AVE STE 210",
            "city": "PASADENA",
            "state": "CA",
            "postal_code": "911054125",
            "telephone_number": "626-585-1345"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "257 S FAIR OAKS AVE STE 210",
            "city": "PASADENA",
            "state": "CA",
            "postal_code": "911054125",
            "telephone_number": "626-585-1345"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DIZON",
        "first_name": "CHRISTIAN",
        "middle_name": "ENRIQUEZ",
        "name_prefix": "Dr.",
        "credential": "PT, D.P.T.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-06-09",
        "last_updated": "2019-01-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "42426",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pasadena, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 18, 2019; 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.