Individual provider Active NPI

Orlando Caleb Vazquez, P.T.

  • Physical Therapist
  • Calexico, CA
National Provider Identifier
1851690671
Registry record updated Oct 28, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT37648 Issued in CA
Practice address
2451 Rockwood Ave Ste 101
Calexico, CA 92231-4401
Phone
(760) 890-5868
Fax
(760) 890-5780
NPI assigned
Mar 18, 2011
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 28, 2022

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 PT37648 CA Primary

Addresses

Primary practice location

2451 Rockwood Ave Ste 101
Calexico, CA 92231-4401

Mailing address

2451 Rockwood Ave Ste 101
Calexico, CA 92231-4401
Phone (760) 890-5868

Other identifiers 1

IdentifierTypeStateIssuer
PT37648OtherCAPHYSICAL THERAPY BOARD OF CALIFORNIA

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110620000557 CA Practitioner - Physical Therapist in Private Practice 6103004221 Reassigns benefits to 3 organizations
Practice locations: Calexico, CA

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Loma Linda University School of Medicine, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

2451 Rockwood Ave
Suite 101
Calexico, CA 92231-4401
Phone (760) 890-5868

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
37648CAMDDentist
PT37648CAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Farid Zia Physical Therapist a Professional Corp Physical Therapist CurrentSince Dec 9, 2016 Accepting new patients
M4R Inc Physical Therapy CurrentSince Aug 1, 2021 Accepting new patients
Valley Health Partners Apc Physical Therapist CurrentSince Nov 1, 2021 Accepting new patients
Reactivate Physical Therapy Inc Physical Therapist CurrentSince Jan 14, 2020 Accepting new patients
Elite Physical Therapy Center Incorporated Physical Therapist Past Accepting new patients

Locations

420 Heffernan Ave
Ste 2B
Calexico, CA 92231
Phone (760) 355-7929

2451 Rockwood Ave
Ste 101
Calexico, CA 92231
Phone (442) 271-8532

1550 N Imperial Ave
Ste 1
El Centro, CA 92243
Phone (760) 352-1731

Organizations & group practices 5

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": "1300406400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1666915200000",
    "number": "1851690671",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2451 ROCKWOOD AVE STE 101",
            "city": "CALEXICO",
            "state": "CA",
            "postal_code": "922314401",
            "telephone_number": "760-890-5868",
            "fax_number": "760-890-5780"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2451 ROCKWOOD AVE STE 101",
            "city": "CALEXICO",
            "state": "CA",
            "postal_code": "922314401",
            "telephone_number": "760-890-5868",
            "fax_number": "760-890-5780"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VAZQUEZ",
        "first_name": "ORLANDO",
        "middle_name": "CALEB",
        "credential": "P.T.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-03-18",
        "last_updated": "2022-10-28",
        "certification_date": "2022-10-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "PT37648",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PHYSICAL THERAPY BOARD OF CALIFORNIA",
            "identifier": "PT37648",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Calexico, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 28, 2022; 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.