Active NPI
Anitha Subhash
- Physical Therapist
- San Diego, CA
National Provider Identifier
1922672096
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 32931
- Practice address
- 12478 Salmon River Rd
San Diego, CA 92129-3545 - Phone
- (858) 776-1808
- NPI assigned
- May 13, 2021
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Medicine & Rehabilitation Physician | 208100000X | PT32931 | CA | |
| Physical Therapist | 225100000X | 32931 | CA | Primary |
Addresses
Primary practice location
12478 Salmon River Rd
San Diego, CA 92129-3545
Mailing address
California Luna Care Physical Therapy
16185 Suit 205
Los Gatos, CA 95032-3545
Phone (916) 666-6678
Other names 1
- Anitha Subhash
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 32931 | CA | MD | Chiropractor |
| PT32931 | CA | MD | Physical Medicine & Rehabilitation Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1620864000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1699228800000",
"number": "1922672096",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "CALIFORNIA LUNA CARE PHYSICAL THERAPY",
"address_2": "16185 SUIT 205",
"city": "LOS GATOS",
"state": "CA",
"postal_code": "950323545",
"telephone_number": "916-666-6678"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12478 SALMON RIVER RD",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "921293545",
"telephone_number": "858-776-1808"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SUBHASH",
"first_name": "ANITHA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2021-05-13",
"last_updated": "2023-11-06",
"certification_date": "2023-11-03",
"status": "A"
},
"taxonomies": [
{
"code": "208100000X",
"taxonomy_group": "",
"desc": "Physical Medicine & Rehabilitation",
"state": "CA",
"license": "PT32931",
"primary": false
},
{
"code": "225100000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Physical Therapist",
"state": "CA",
"license": "32931",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "ANITHA",
"last_name": "SUBHASH",
"credential": "PT",
"code": "1",
"type": "Former Name"
}
]
}Other providers in San Diego, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 6, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.