NPIMap

Organization Active NPI

Adorador Enterprises Inc

  • Physical Therapy Clinic/Center
  • Beaumont, CA
National Provider Identifier
1861402950
Registry record updated Feb 26, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
License
24475 Issued in CA
Legal business name
ADORADOR ENTERPRISES INC
Practice address
1676 East 6TH St
Suite C
Beaumont, CA 92223-2550
Phone
(951) 769-0300
Fax
(951) 769-2811
NPI assigned
Aug 9, 2006
Last updated
Feb 26, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 26, 2020

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

Authorized official

Name
Mr. Leo Adorador, D.P.T.
Title
P.T.
Phone
(951) 769-0300

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Clinic/Center 261QP2000X 24475 CA Primary

Addresses

Primary practice location

1676 East 6TH St
Suite C
Beaumont, CA 92223-2550

Mailing address

1676 East 6TH St
Suite C
Beaumont, CA 92223-2550
Phone (951) 769-0300

Other names 1

  • Adorador Enterprises Other name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20091119000364 CA Part B Supplier - Clinic/Group Practice 4183651276 Receives reassigned benefits from 13 practitioners
Practice locations: Yucaipa, CA; Redlands, CA; Palm Springs, CA; Moreno Valley, CA; Beaumont, CA

National Provider Directory

National Provider Directory

Locations

1676 E Sixth St
Ste C
Beaumont, CA 92223
Phone (909) 769-0300

12730 Heacock St
Ste 4B
Moreno Valley, CA 92553
Phone (951) 924-8300

1200 California St
Ste 118
Redlands, CA 92374
Phone (909) 792-9260

32819 Yucaipa Blvd
Ste C
Yucaipa, CA 92399
Phone (909) 797-9010

Practitioners & affiliated clinicians

Practitioners 20

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 20

NPI Registry JSON

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

{
    "created_epoch": "1155081600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1582675200000",
    "number": "1861402950",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1676 EAST 6TH ST",
            "address_2": "SUITE C",
            "city": "BEAUMONT",
            "state": "CA",
            "postal_code": "922232550",
            "telephone_number": "951-769-0300",
            "fax_number": "951-769-2811"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1676 EAST 6TH ST",
            "address_2": "SUITE C",
            "city": "BEAUMONT",
            "state": "CA",
            "postal_code": "922232550",
            "telephone_number": "951-769-0300",
            "fax_number": "951-769-2811"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADORADOR ENTERPRISES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-09",
        "last_updated": "2020-02-26",
        "certification_date": "2020-02-26",
        "status": "A",
        "authorized_official_last_name": "ADORADOR",
        "authorized_official_first_name": "LEO",
        "authorized_official_title_or_position": "P.T.",
        "authorized_official_telephone_number": "951-769-0300",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "D.P.T."
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "CA",
            "license": "24475",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Adorador Enterprises",
            "code": "5",
            "type": "Other Name"
        },
        {
            "organization_name": "Adorador Enterprises",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Beaumont, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 26, 2020; 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.