Individual provider Active NPI

Carlo S Lumbad, DPT

  • Physical Therapist
  • Temecula, CA
National Provider Identifier
1831545532
Registry record updated Oct 3, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
291382 Issued in CA
Practice address
29377 Rancho California Rd Ste 100
Temecula, CA 92591
Phone
(951) 296-0400
NPI assigned
May 11, 2016
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 3, 2018

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 291382 CA Primary

Addresses

Primary practice location

29377 Rancho California Rd Ste 100
Temecula, CA 92591

Mailing address

29377 Rancho California Rd Ste 100
Temecula, CA 92591-5206
Phone (951) 296-0400

Other practice location 1

25150 Hancock Ave
Suite 100
Murrieta, CA 92562-5987
Phone (951) 698-7720

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160531001993 CA Practitioner - Physical Therapist in Private Practice 0143510354 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
291382CAMDLicensed Vocational Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Mangan Physical Therapy Inc Physical Therapist CurrentSince Dec 28, 2018 Accepting new patients
Temecula Medical Corporation CurrentSince Oct 10, 2017 Accepting new patients

Locations

295 S Rancho Santa Fe Rd
San Marcos, CA 92078
Phone (760) 471-1111

29377 Rancho California Rd
Ste 100
Temecula, CA 92591
Phone (951) 296-0400

41715 Winchester Rd
Ste 101
Temecula, CA 92590
Phone (858) 616-6400

41715 Winchester Rd
Ste 202
Temecula, CA 92590
Phone (951) 296-0788

Organizations & group practices 2

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": "1462924800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1538524800000",
    "number": "1831545532",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "29377 RANCHO CALIFORNIA RD STE 100",
            "city": "TEMECULA",
            "state": "CA",
            "postal_code": "925915206",
            "telephone_number": "951-296-0400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "29377 RANCHO CALIFORNIA RD STE 100",
            "city": "TEMECULA",
            "state": "CA",
            "postal_code": "92591",
            "telephone_number": "951-296-0400"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "25150 Hancock Ave",
            "address_2": "Suite 100",
            "address_purpose": "LOCATION",
            "city": "Murrieta",
            "state": "CA",
            "postal_code": "925625987",
            "country_code": "US",
            "telephone_number": "951-698-7720",
            "fax_number": "951-698-7451",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LUMBAD",
        "first_name": "CARLO",
        "middle_name": "S",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-05-11",
        "last_updated": "2018-10-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "291382",
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Oct 3, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.