Individual provider Active NPI

Kristian Noguchi-Salazar

  • Physical Therapist
  • Los Angeles, CA
National Provider Identifier
1902448400
Registry record updated Dec 3, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Practice address
1335 N la Brea Ave Ste 3
Los Angeles, CA 90028-7565
Phone
(310) 246-1050
NPI assigned
Oct 16, 2019
Last updated
Dec 3, 2021By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 3, 2021

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 Primary

Addresses

Primary practice location

1335 N la Brea Ave Ste 3
Los Angeles, CA 90028-7565

Mailing address

3305 Rice St
Miami, FL 33133-5216
Phone (305) 792-8393

Other practice location 1

68 Willow Rd
Menlo Park, CA 94025-3653
Phone (866) 839-6979

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA, FL2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20191120003356 CA Practitioner - Physical Therapist in Private Practice 3971935495 Reassigns benefits to 3 organizations
I20211210000029 FL Practitioner - Physical Therapist in Private Practice 3971935495 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Skypark Physical Therapy and RehabilitationGroup PAC ID 2264738517, 3 clinicians

Practice addresses (Care Compare)

23332 Hawthorne Blvd
Suite 202
Torrance, CA 90505-3767
Phone (310) 373-5288

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Back2 Health Physical Therapy Inc Physical Therapist CurrentSince Oct 1, 2019 Accepting new patients
Skypark Physical Therapy & Rehabilitation CurrentSince Nov 1, 2025 Accepting new patients
Coast 2 Coast Sports Medicine Physical Therapist CurrentSince Jan 1, 2024 Accepting new patients
California Luna Care Physical Therapy PC Physical Therapist CurrentSince Nov 21, 2019 Accepting new patients

Locations

930 W Alameda Ave
Burbank, CA 91506
Phone (818) 588-3880

1335 N La Brea Ave
Ste 3
Los Angeles, CA 90028
Phone (213) 297-4395

16185 Los Gatos Blvd
Ste 205
Los Gatos, CA 95032
Phone (408) 459-8108

68 Willow Rd
Menlo Park, CA 94025
Phone (650) 691-8630

23332 Hawthorne Blvd
Ste 202
Torrance, CA 90505
Phone (310) 373-5288

5300 Powerline Rd
Ft Lauderdale, FL 33309
Phone (415) 420-9504

5300 Powerline Rd
Ste 202
Ft Lauderdale, FL 33309
Phone (954) 940-0718

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": "1571184000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1638489600000",
    "number": "1902448400",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3305 RICE ST",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331335216",
            "telephone_number": "305-792-8393",
            "fax_number": "305-444-1523"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1335 N LA BREA AVE STE 3",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900287565",
            "telephone_number": "310-246-1050"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "68 Willow Rd",
            "address_purpose": "LOCATION",
            "city": "Menlo Park",
            "state": "CA",
            "postal_code": "940253653",
            "country_code": "US",
            "telephone_number": "866-839-6979",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NOGUCHI-SALAZAR",
        "first_name": "KRISTIAN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-10-16",
        "last_updated": "2021-12-03",
        "certification_date": "2021-12-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Los Angeles, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 3, 2021; 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.