Active NPI
Tatiana Nazaroff
- Physical Therapist
- Torrance, CA
National Provider Identifier
1821621665
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT298084
- Practice address
- 23430 Hawthorne Blvd
Torrance, CA 90505-4720 - Phone
- (310) 465-4243
- NPI assigned
- Feb 20, 2020
- 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 | PT298084 | CA | Primary |
Addresses
Primary practice location
23430 Hawthorne Blvd
Torrance, CA 90505-4720
Mailing address
825 Chestnut St
La Habra, CA 90631-3008
Phone (562) 447-7401
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2019
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
13341 Garden Grove Blvd
Suite B
Garden Grove, CA 92843-2255
Phone (714) 750-4097
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PT298084 | CA | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ohana Physical Therapy Inc | Physical Therapist | Current | Accepting new patients |
Locations
13341 Garden Grove Blvd
Ste B
Garden Grove, CA 92843
Phone (310) 649-5381
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.
-
- Physical Therapist
- Garden Grove, CA
- NPI 1851486237
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1582156800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1582156800000",
"number": "1821621665",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "825 CHESTNUT ST",
"city": "LA HABRA",
"state": "CA",
"postal_code": "906313008",
"telephone_number": "562-447-7401"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "23430 HAWTHORNE BLVD",
"city": "TORRANCE",
"state": "CA",
"postal_code": "905054720",
"telephone_number": "310-465-4243"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NAZAROFF",
"first_name": "TATIANA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-02-20",
"last_updated": "2020-02-20",
"certification_date": "2020-02-20",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "CA",
"license": "PT298084",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Torrance, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 20, 2020; 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.