Aviinaash Pasula

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

PTA50248 Issued in CA

Practice address

406 W 5TH St
San Dimas, CA 91773-2014

Phone

(312) 734-0776

NPI assigned

Dec 30, 2019

Sex

Male

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)

Not enrolled

State licenses

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

{
    "created_epoch": "1577664000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1577664000000",
    "number": "1851930408",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "406 W 5TH ST",
            "city": "SAN DIMAS",
            "state": "CA",
            "postal_code": "917732014",
            "telephone_number": "312-734-0776"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "406 W 5TH ST",
            "city": "SAN DIMAS",
            "state": "CA",
            "postal_code": "917732014",
            "telephone_number": "312-734-0776"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PASULA",
        "first_name": "AVIINAASH",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2019-12-30",
        "last_updated": "2019-12-30",
        "certification_date": "2019-12-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "CA",
            "license": "PTA50248",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Manoj K Parida, OTR/L
• Lisa S Park-Chang, PHARMD
• Scott Parrish, PHARMD
• John Franklin Paschal, MD
• Samantha Pastoriza
• Shalinni Pasula
• Kirt K Patel, PHARMD.
• Tushar B Patel, D.D.S.
• Vijay V Patel, M.D.
• Pathways Recovery Center 2, Inc.

• Physical Therapy Assistant in San Dimas, CA
• Providers in San Dimas, CA by specialty
• Physical Therapy Assistant in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 30, 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.