Edgar Neil Infante Claveria Jr., P.T.

Primary specialty

Physical TherapistTaxonomy code 225100000X

Practice address

68 Willow Rd
Menlo Park, CA 94025-3653

Phone

(866) 839-6979

NPI assigned

Mar 7, 2007

Last updated

Dec 2, 2019By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• California Luna Care Physical Therapy PC

  • Physical Therapist
  • Los Gatos, CA
  • NPI 1689162166
  NPD

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

{
    "created_epoch": "1173225600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1575244800000",
    "number": "1871624684",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2207 HIGHWAY 35 N",
            "address_2": "SUITE A",
            "city": "ROCKPORT",
            "state": "TX",
            "postal_code": "783823337",
            "telephone_number": "361-727-1925",
            "fax_number": "361-727-9257"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "68 WILLOW RD",
            "city": "MENLO PARK",
            "state": "CA",
            "postal_code": "940253653",
            "telephone_number": "866-839-6979"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2207 Highway 35 N",
            "address_2": "Suite A",
            "address_purpose": "LOCATION",
            "city": "Rockport",
            "state": "TX",
            "postal_code": "783823337",
            "country_code": "US",
            "telephone_number": "361-727-1925",
            "fax_number": "361-727-9257",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CLAVERIA",
        "first_name": "EDGAR NEIL",
        "middle_name": "INFANTE",
        "name_suffix": "Jr.",
        "credential": "P.T.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-03-07",
        "last_updated": "2019-12-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": null,
            "primary": true
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "TX",
            "license": "1111516",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Katarzyna M Ciesielski, MD
• Linda Cintron, MD
• James A Cisco, MD
• Isha A Clark, M.D.
• Jessica Rain Clark, LMFT
• Shawndell Kalisha Clay, PSY.D.
• Karli Erin Cleary, DO
• Molly Cluff, OTR
• Gerald Cohen, D.C.
• Daniel Patrick Cole, M.D.

• Physical Therapist in Menlo Park, CA
• Providers in Menlo Park, CA by specialty
• Physical Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 2, 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.