Active NPI
Prashant Jaiswal
- Physical Therapist
- West Covina, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT303961
- Practice address
- 100 N Barranca St Ste 920
West Covina, CA 91791-1654 - Phone
- (626) 263-6469
- Fax
- (626) 332-5298
- NPI assigned
- Feb 1, 2022
- Last updated
- Feb 13, 2024
- Sex
- Male
- 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 Therapist | 225100000X | 048018-01 | NY | |
| Physical Therapist | 225100000X | PT303961 | CA | Primary |
Addresses
Primary practice location
100 N Barranca St Ste 920
West Covina, CA 91791-1654
Mailing address
851 S Sunset Ave
West Covina, CA 91790-5510
Phone (203) 997-1208
Other practice location 1
1850 N Riverside Ave Ste 240
Rialto, CA 92376-8082
Phone (909) 258-2220
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2009
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1850 N Riverside Ave
Suite 240
Rialto, CA 92376-8082
Phone (909) 258-2220
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PT303961 | CA | MD | Physical Therapist |
| 048018-01 | NY | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Transit Physical Therapy PC | Physical Therapist | Current | Accepting new patients |
Locations
1850 N Riverside Ave
Ste 240
Rialto, CA 92376
Phone (909) 258-2220
275 W Hospitality Ln
Ste 102
San Bernardino, CA 92408
Phone (909) 567-2221
275 W Hospitality Ln
Ste 103
Sn Bernrdno, CA 92408
Phone (909) 567-2221
100 N Barranca St
Ste 920
West Covina, CA 91791
Phone (626) 263-6469
Organizations & group practices 1
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.
-
- Physical Therapy Clinic/Center
- San Bernardino, CA
- NPI 1417485889
Physical Therapist
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1643673600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1707782400000",
"number": "1922751734",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "851 S SUNSET AVE",
"city": "WEST COVINA",
"state": "CA",
"postal_code": "917905510",
"telephone_number": "203-997-1208"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "100 N BARRANCA ST STE 920",
"city": "WEST COVINA",
"state": "CA",
"postal_code": "917911654",
"telephone_number": "626-263-6469",
"fax_number": "626-332-5298"
}
],
"practiceLocations": [
{
"address_1": "1850 N Riverside Ave Ste 240",
"address_purpose": "LOCATION",
"city": "Rialto",
"state": "CA",
"postal_code": "923768082",
"country_code": "US",
"telephone_number": "909-258-2220",
"fax_number": "909-258-2102",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "JAISWAL",
"first_name": "PRASHANT",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2022-02-01",
"last_updated": "2024-02-13",
"certification_date": "2024-02-13",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "NY",
"license": "048018-01",
"primary": false
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "CA",
"license": "PT303961",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in West Covina, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 13, 2024; 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.