Individual provider Active NPI

Danel Lombard, MPT

  • Physical Therapist
  • El Segundo, CA
National Provider Identifier
1851302004
Registry record updated Jul 18, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT40667 Issued in CA
Practice address
615 N Nash St Ste 306
El Segundo, CA 90245-2850
Phone
(310) 535-0008
Fax
(310) 535-0009
NPI assigned
Aug 11, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 18, 2019

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 PT40667 CA Primary

Addresses

Primary practice location

615 N Nash St Ste 306
El Segundo, CA 90245-2850

Mailing address

1227 De la Vina St
Santa Barbara, CA 93101-3129

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
40667CAMDLicensed Psychiatric Technician
PT40667CAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Blake Physical Therapy, PC Physical Therapist CurrentSince May 10, 2022 Accepting new patients
Riddle Health Care Services Past Accepting new patients
Riddle Health Care Services Physical Therapist Past Accepting new patients

Locations

4820 Lincoln Blvd
Marina del Rey, CA 90292
Phone (310) 392-7889

Organizations & group practices 3

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": "1155254400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1563408000000",
    "number": "1851302004",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1227 DE LA VINA ST",
            "city": "SANTA BARBARA",
            "state": "CA",
            "postal_code": "931013129"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "615 N NASH ST STE 306",
            "city": "EL SEGUNDO",
            "state": "CA",
            "postal_code": "902452850",
            "telephone_number": "310-535-0008",
            "fax_number": "310-535-0009"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LOMBARD",
        "first_name": "DANEL",
        "name_prefix": "Ms.",
        "credential": "MPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-11",
        "last_updated": "2019-07-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "PT40667",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in El Segundo, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 18, 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.