Erica Vidallon Pablo, D.P.T.

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

30439 Issued in CA

Practice address

13341 Garden Grove Blvd
#B
Garden Grove, CA 92843-2255

Phone

(714) 750-4097

NPI assigned

Jan 25, 2007

Sex

Female

Sole proprietor

No

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

Enrolled in CA

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2005

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Ohana Physical Therapy IncGroup PAC ID 7911972906, 6 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

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.

• Ohana Physical Therapy Inc

  • Physical Therapist
  • Garden Grove, CA
  • NPI 1851486237
  Medicare reassignment Care Compare group

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

{
    "created_epoch": "1169683200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1861548711",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19002 MARTHA AVE",
            "city": "CERRITOS",
            "state": "CA",
            "postal_code": "907037340",
            "telephone_number": "562-402-2813"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13341 GARDEN GROVE BLVD",
            "address_2": "#B",
            "city": "GARDEN GROVE",
            "state": "CA",
            "postal_code": "928432255",
            "telephone_number": "714-750-4097"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PABLO",
        "first_name": "ERICA",
        "middle_name": "VIDALLON",
        "name_prefix": "Miss",
        "credential": "D.P.T.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-25",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "30439",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Eliel N Otubuah
• Cleopatra F Oubre, LCSW
• Our Watch
• Georgene Oyape
• Mark Ozurovich
• Pace- UC Irvine Health, Family Medicine
• Pace- UC Irvine Health, Internal Medicine
• Karina Pacheco
• Myra Pacheco
• Pacific Diagnostics

• Physical Therapist in Garden Grove, CA
• Providers in Garden Grove, CA by specialty
• Physical Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.