Active NPI
Lacey Galvez
- Physical Therapist
- Corona, CA
National Provider Identifier
1912816240
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 310996
- Practice address
- 2815 S Main St Ste 205
Corona, CA 92882-2533 - Phone
- (951) 475-1307
- NPI assigned
- Sep 2, 2026
- Sex
- Female
- 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 | 310996 | CA | Primary |
Addresses
Primary practice location
2815 S Main St Ste 205
Corona, CA 92882-2533
Mailing address
4390 Jurupa Ave
Riverside, CA 92506-1766
Phone (951) 742-7777
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1788307200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1788307200000",
"number": "1912816240",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4390 JURUPA AVE",
"city": "RIVERSIDE",
"state": "CA",
"postal_code": "925061766",
"telephone_number": "951-742-7777"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2815 S MAIN ST STE 205",
"city": "CORONA",
"state": "CA",
"postal_code": "928822533",
"telephone_number": "951-475-1307"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GALVEZ",
"first_name": "LACEY",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2026-09-02",
"last_updated": "2026-09-02",
"certification_date": "2026-09-02",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "CA",
"license": "310996",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Corona, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 2, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.