Active NPI
Sebastian S Cerda, RPT
- Physical Therapist
- Temecula, CA
National Provider Identifier
1811915531
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT15658
- Practice address
- 41278 Margarita Road
Suite 102 Choice Physical Therapy Inc
Temecula, CA 92591 - Phone
- (951) 587-8105
- Fax
- (951) 587-8405
- NPI assigned
- Jul 18, 2006
- 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 | PT15658 | CA | Primary |
Addresses
Primary practice location
41278 Margarita Road
Suite 102 Choice Physical Therapy Inc
Temecula, CA 92591
Mailing address
41278 Margarita Road
Suite 102 Choice Physical Therapy Inc
Temecula, CA 92591
Phone (951) 587-8105
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| ZZZ29191Z | Other | MEDICARE GROUP NUMBER | |
| PT15658 | Other | CA STATE LIC NUMBER |
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 |
|---|---|---|---|
| PT15658 | CA | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153180800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1811915531",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "41278 MARGARITA ROAD",
"address_2": "SUITE 102 CHOICE PHYSICAL THERAPY INC",
"city": "TEMECULA",
"state": "CA",
"postal_code": "92591",
"telephone_number": "951-587-8105",
"fax_number": "951-587-8405"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "41278 MARGARITA ROAD",
"address_2": "SUITE 102 CHOICE PHYSICAL THERAPY INC",
"city": "TEMECULA",
"state": "CA",
"postal_code": "92591",
"telephone_number": "951-587-8105",
"fax_number": "951-587-8405"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CERDA",
"first_name": "SEBASTIAN",
"middle_name": "S",
"name_prefix": "Mr.",
"credential": "RPT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-07-18",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "CA",
"license": "PT15658",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE GROUP NUMBER",
"identifier": "ZZZ29191Z",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CA STATE LIC NUMBER",
"identifier": "PT15658",
"state": null
}
],
"endpoints": [],
"other_names": []
}
Other providers in Temecula, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.