Maricar Fanuga, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

40443 Issued in CA

Practice address

8916 Reydon St
Downey, CA 90242-5236

Phone

(562) 382-3751

NPI assigned

Oct 24, 2016

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Prime Active Physical Therapy, Inc.

  • Physical Therapist
  • Fullerton, CA
  • NPI 1699390187
  NPD Authorized official
• Kim Youngrae Medical, Inc

  • Rheumatology Physician
  • Buena Park, CA
  • NPI 1275242083
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1477267200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1564963200000",
    "number": "1841741964",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8916 REYDON ST",
            "city": "DOWNEY",
            "state": "CA",
            "postal_code": "902425236"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8916 REYDON ST",
            "city": "DOWNEY",
            "state": "CA",
            "postal_code": "902425236",
            "telephone_number": "562-382-3751"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FANUGA",
        "first_name": "MARICAR",
        "name_prefix": "Ms.",
        "credential": "PT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-10-24",
        "last_updated": "2019-08-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "40443",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Family Solutions Counseling Center a Professional Corporation
• Shan-Pin Fanchiang, OTR/L, PHD
• Michael Shaoyi Fang, M.D.
• Kenisha De'Ann Faniel, D.C.
• Stephanie Faniel, CCAPP
• Iman Farhat
• Alana M Farias
• John Francis Farinacci Jr., M.D.
• Marlene F. Farronan, P.A.
• Badiha Fatima, PA-C

• Physical Therapist in Downey, CA
• Providers in Downey, CA by specialty
• Physical Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 5, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.