Individual provider Active NPI

Adrian Joseph Saucedo, DPT

  • Physical Therapist
  • Hermosa Beach, CA
National Provider Identifier
1891668620
Registry record updated Sep 26, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
308697 Issued in CA
Practice address
1035 Aviation Blvd
Hermosa Beach, CA 90254-4023
Phone
(310) 937-2323
NPI assigned
Sep 26, 2025
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 26, 2025

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 308697 CA Primary

Addresses

Primary practice location

1035 Aviation Blvd
Hermosa Beach, CA 90254-4023

Mailing address

250 Las Lomas Dr
La Habra, CA 90631-7102
Phone (562) 505-0946

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20251013000857 CA Practitioner - Physical Therapist in Private Practice 1153818422 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
University of Southern California Keck School of Medicine, 2025
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Aim Sports Medicine and Physical Therapy IncGroup PAC ID 2163582990, 7 clinicians

Practice addresses (Care Compare)

1035 Aviation Blvd
Hermosa Beach, CA 90254-4023
Phone (310) 937-2323

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Aim Sports Medicine and Physical Therapy Inc Physical Therapist CurrentSince Oct 6, 2025 Accepting new patients
Frank E Kaden D C Chiropractic Inc CurrentSince Sep 28, 2025 Accepting new patients

Locations

1035 Aviation Blvd
Hermosa Beach, CA 90254
Phone (310) 251-0862

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1758844800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1758844800000",
    "number": "1891668620",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "250 LAS LOMAS DR",
            "city": "LA HABRA",
            "state": "CA",
            "postal_code": "906317102",
            "telephone_number": "562-505-0946"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1035 AVIATION BLVD",
            "city": "HERMOSA BEACH",
            "state": "CA",
            "postal_code": "902544023",
            "telephone_number": "310-937-2323"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SAUCEDO",
        "first_name": "ADRIAN",
        "middle_name": "JOSEPH",
        "name_prefix": "Mr.",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2025-09-26",
        "last_updated": "2025-09-26",
        "certification_date": "2025-09-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "308697",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hermosa Beach, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 26, 2025; 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.