Individual provider Active NPI

Mari Magnolia Jasmin Besinga, P.T.

  • Physical Therapist
  • La Mirada, CA
National Provider Identifier
1861448995
Registry record updated Oct 23, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT29179 Issued in CA
Practice address
14513 Rio Blanco Rd
La Mirada, CA 90638-4430
Phone
(562) 881-4431
Fax
(714) 221-2255
NPI assigned
May 26, 2006
Last updated
Oct 23, 2020By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 23, 2020

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 PT29179 CA Primary

Addresses

Primary practice location

14513 Rio Blanco Rd
La Mirada, CA 90638-4430

Mailing address

14513 Rio Blanco Rd
La Mirada, CA 90638-4430
Phone (562) 881-4431

Other identifiers 1

IdentifierTypeStateIssuer
PT 29179OtherCAPT LICENSE

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
PT29179CAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Care in Motion Physical Therapy and Wellness, LLC CurrentSince Jan 26, 2021 Accepting new patients
Nifty After Fifty Physical Therapist Past Accepting new patients
A&G Health Services, Inc Physical Therapist Past Accepting new patients
Caremore Medical Group Inc Past Accepting new patients
Caremore Medical Group Past Accepting new patients
A&G Health Services, Inc. Past Accepting new patients

Organizations & group practices 6

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1148601600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1603411200000",
    "number": "1861448995",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14513 RIO BLANCO RD",
            "city": "LA MIRADA",
            "state": "CA",
            "postal_code": "906384430",
            "telephone_number": "562-881-4431"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14513 RIO BLANCO RD",
            "city": "LA MIRADA",
            "state": "CA",
            "postal_code": "906384430",
            "telephone_number": "562-881-4431",
            "fax_number": "714-221-2255"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BESINGA",
        "first_name": "MARI",
        "middle_name": "MAGNOLIA JASMIN",
        "name_prefix": "Ms.",
        "credential": "P.T.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-26",
        "last_updated": "2020-10-23",
        "certification_date": "2020-10-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "PT29179",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PT LICENSE",
            "identifier": "PT 29179",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in La Mirada, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 23, 2020; 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.