Active NPI
Kristian Noguchi-Salazar
- Physical Therapist
- Los Angeles, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- 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, 2021
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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, FL
Enrollment records 2
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
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
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Back2 Health Physical Therapy Inc | Physical Therapist | Current | Accepting new patients |
| Skypark Physical Therapy & Rehabilitation | Current | Accepting new patients | |
| Coast 2 Coast Sports Medicine | Physical Therapist | Current | Accepting new patients |
| California Luna Care Physical Therapy PC | Physical Therapist | Current | 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.
-
dba Skypark Physical Therapy
- Physical Therapy Clinic/Center
- Torrance, CA
- NPI 1114316072
-
- Physical Medicine & Rehabilitation Physician
- Los Angeles, CA
- NPI 1053419408
Physical Therapist
-
- Physical Therapist
- Los Gatos, CA
- NPI 1689162166
-
- Physical Therapist
- Fort Lauderdale, FL
- NPI 1245007665
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.