David Halberg, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT14137 Issued in CA

Practice address

2250 Park PL
El Segundo, CA 90245-4908

Phone

(310) 643-9016

Fax

(310) 536-0177

NPI assigned

Jul 7, 2006

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• California Luna Care Physical Therapy PC

  • Physical Therapist
  • Los Gatos, CA
  • NPI 1689162166
  Medicare reassignment NPD
• David Halberg

  • Physical Therapy Clinic/Center
  • El Segundo, CA
  • NPI 1568709921
  NPD (past) Authorized official

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

{
    "created_epoch": "1152230400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1214870400000",
    "number": "1912939430",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8325 DELGANY AVE",
            "city": "PLAYA DEL REY",
            "state": "CA",
            "postal_code": "902937819",
            "telephone_number": "310-721-7033",
            "fax_number": "310-536-0177"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2250 PARK PL",
            "city": "EL SEGUNDO",
            "state": "CA",
            "postal_code": "902454908",
            "telephone_number": "310-643-9016",
            "fax_number": "310-536-0177"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HALBERG",
        "first_name": "DAVID",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-07",
        "last_updated": "2008-07-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "PT14137",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PPIN",
            "identifier": "PT14137",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Mushtaq Hagi
• Blain Hagos
• Zoe Haines
• Hasan Jamal Hajeid
• Isabella Hajji
• Halcyon Nurse Staffing, LLC
• Cadence Hale
• Darrell Hale
• Sara Michelle Hale, DDS
• James Haley

• Physical Therapist in El Segundo, CA
• Providers in El Segundo, CA by specialty
• Physical Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 1, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.