Individual provider Active NPI

Daniel Lang

  • Physical Therapist
  • Encinitas, CA
National Provider Identifier
1881054708
Registry record updated Mar 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
43016 Issued in CA
Practice address
332 Santa Fe Dr Ste 120
Encinitas, CA 92024-5143
Phone
(760) 942-4400
NPI assigned
Mar 4, 2016
Last updated
Mar 17, 2018By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 17, 2018

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 43016 CA Primary

Addresses

Primary practice location

332 Santa Fe Dr Ste 120
Encinitas, CA 92024-5143

Mailing address

171 Sanford St
Encinitas, CA 92024-1503
Phone (410) 375-5273

Other practice location 1

171 Sanford St
Encinitas, CA 92024-1503
Phone (410) 375-5273

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160420001736 CA Practitioner - Physical Therapist in Private Practice 5496053696 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
California Luna Care Physical Therapy PCGroup PAC ID 9638427834, 769 clinicians

Practice addresses (Care Compare)

16185 Los Gatos Blvd
Suite 205
Los Gatos, CA 95032-4569
Phone (866) 525-3175

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
43016CAMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Core Orthopaedic Medical Center Current Accepting new patients
San Dieguito Orthopedic Medical Center P C Physical Therapist CurrentSince Dec 6, 2017 Accepting new patients
Tri-City Hospital CurrentSince Dec 6, 2017 Accepting new patients

Locations

332 Santa Fe Dr
Ste 110
Encinitas, CA 92024
Phone (760) 632-4266

332 Santa Fe Dr
Ste 120
Encinitas, CA 92024
Phone (760) 942-4400

Organizations & group practices 4

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": "1457049600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1881054708",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "171 SANFORD ST",
            "city": "ENCINITAS",
            "state": "CA",
            "postal_code": "920241503",
            "telephone_number": "410-375-5273"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "332 SANTA FE DR STE 120",
            "city": "ENCINITAS",
            "state": "CA",
            "postal_code": "920245143",
            "telephone_number": "760-942-4400"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "171 Sanford St",
            "address_purpose": "LOCATION",
            "city": "Encinitas",
            "state": "CA",
            "postal_code": "920241503",
            "country_code": "US",
            "telephone_number": "410-375-5273",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LANG",
        "first_name": "DANIEL",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-03-04",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "43016",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Encinitas, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; 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.