Active NPI
Joseph Katigbak
- Physical Therapist
- Fullerton, CA
National Provider Identifier
1922828706
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 306858
- Practice address
- 642 W Commonwealth Ave
Fullerton, CA 92832-1771 - Phone
- (213) 674-7699
- NPI assigned
- Oct 15, 2024
- 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 | 306858 | CA | Primary |
Addresses
Primary practice location
642 W Commonwealth Ave
Fullerton, CA 92832-1771
Mailing address
610 W Broadway Apt 212
Anaheim, CA 92805-3678
Phone (213) 610-5088
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, 2024
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
505 S Virgil Ave
Suite 204a
Los Angeles, CA 90020-1443
Phone (213) 674-7699
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Equip Physical Therapy and Rehabilitation Inc | Physical Therapist | Current | Accepting new patients |
| CJ Physiotherapy Inc | Physical Therapist | Current | Accepting new patients |
Locations
642 W Commonwealth Ave
Fullerton, CA 92832
Phone (213) 674-7699
505 S Virgil Ave
Ste 204A
Los Angeles, CA 90020
Phone (213) 674-7699
Organizations & group practices 2
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.
-
- Physical Therapist
- Los Angeles, CA
- NPI 1831625839
-
- Physical Therapist
- Tustin, CA
- NPI 1639569312
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1728950400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1728950400000",
"number": "1922828706",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "610 W BROADWAY APT 212",
"city": "ANAHEIM",
"state": "CA",
"postal_code": "928053678",
"telephone_number": "213-610-5088"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "642 W COMMONWEALTH AVE",
"city": "FULLERTON",
"state": "CA",
"postal_code": "928321771",
"telephone_number": "213-674-7699"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KATIGBAK",
"first_name": "JOSEPH",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2024-10-15",
"last_updated": "2024-10-15",
"certification_date": "2024-10-15",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "CA",
"license": "306858",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Fullerton, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 15, 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.