Active NPI
Angelina Pua, PT
- Physical Therapist
- San Diego, CA
National Provider Identifier
1821411141
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 29139
- Practice address
- 7675 Family Cir
San Diego, CA 92111-5304 - Phone
- (858) 278-8121
- NPI assigned
- Jan 22, 2014
- Sex
- Female
- 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 | 29139 | CA | Primary |
Addresses
Primary practice location
7675 Family Cir
San Diego, CA 92111-5304
Mailing address
7675 Family Cir
San Diego, CA 92111-5304
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)
- Not enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1390348800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1414800000000",
"number": "1821411141",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7675 FAMILY CIR",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "921115304"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7675 FAMILY CIR",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "921115304",
"telephone_number": "858-278-8121"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PUA",
"first_name": "ANGELINA",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2014-01-22",
"last_updated": "2014-11-01",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "CA",
"license": "29139",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in San Diego, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 1, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.