Individual provider Active NPI

Vipra Nilkanth Upadhyay

  • Physical Therapist
  • Anaheim, CA
National Provider Identifier
1821500729
Registry record updated Nov 1, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT293859 Issued in CA
Practice address
312 W Cerritos Ave BLDG 7
Anaheim, CA 92805-6550
Phone
(714) 947-1213
Fax
(877) 707-0708
NPI assigned
Nov 1, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 1, 2017

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 PT293859 CA Primary

Addresses

Primary practice location

312 W Cerritos Ave BLDG 7
Anaheim, CA 92805-6550

Mailing address

312 W Cerritos Ave BLDG 7
Anaheim, CA 92805-6550
Phone (714) 947-1213

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20180404000648 CA Practitioner - Physical Therapist in Private Practice 4486917481 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Able Physical Therapy CorpGroup PAC ID 7315011285, 6 clinicians

Practice addresses (Care Compare)

2101 E 4TH St
Santa Ana, CA 92705-3814
Phone (714) 855-3100

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PT293859CAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Able Physical Therapy Corp Physical Therapist CurrentSince Jan 1, 2018 Accepting new patients

Locations

101 E Lincoln Ave
Ste 111
Anaheim, CA 92805
Phone (714) 774-6502

1535 Deerpark Dr
Fullerton, CA 92831
Phone (714) 993-3222

12562 Garden Grove Blvd
Garden Grove, CA 92843
Phone (417) 534-1700

1902 Royalty Dr
Ste 170
Pomona, CA 91767
Phone (909) 620-9700

1902 Royalty Dr
#170
Pomona, CA 91767
Phone (909) 620-9700

2101 E 4th St
Santa Ana, CA 92705
Phone (714) 558-3977

550 Parkcenter Dr
Ste 105
Santa Ana, CA 92705
Phone (714) 855-3100

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Organizations & group practices 1

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": "1509494400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1509494400000",
    "number": "1821500729",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "312 W CERRITOS AVE BLDG 7",
            "city": "ANAHEIM",
            "state": "CA",
            "postal_code": "928056550",
            "telephone_number": "714-947-1213",
            "fax_number": "877-707-0708"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "312 W CERRITOS AVE BLDG 7",
            "city": "ANAHEIM",
            "state": "CA",
            "postal_code": "928056550",
            "telephone_number": "714-947-1213",
            "fax_number": "877-707-0708"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "UPADHYAY",
        "first_name": "VIPRA",
        "middle_name": "NILKANTH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-11-01",
        "last_updated": "2017-11-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "PT293859",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Anaheim, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 1, 2017; 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.