Active NPI
Federico Ryan Ragazzon, DPT
- Physical Therapist
- El Segundo, CA
National Provider Identifier
1952055733
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 301698
- Practice address
- 325 Main St
El Segundo, CA 90245-3814 - Phone
- (310) 648-3167
- NPI assigned
- Feb 9, 2022
- 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 | 301698 | CA | Primary |
Addresses
Primary practice location
325 Main St
El Segundo, CA 90245-3814
Mailing address
1634 W 214TH St
Torrance, CA 90501-2905
Phone (916) 502-5517
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 |
|---|---|---|---|
| 301698 | CA | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1644364800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1644364800000",
"number": "1952055733",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1634 W 214TH ST",
"city": "TORRANCE",
"state": "CA",
"postal_code": "905012905",
"telephone_number": "916-502-5517"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "325 MAIN ST",
"city": "EL SEGUNDO",
"state": "CA",
"postal_code": "902453814",
"telephone_number": "310-648-3167"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RAGAZZON",
"first_name": "FEDERICO",
"middle_name": "RYAN",
"credential": "DPT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2022-02-09",
"last_updated": "2022-02-09",
"certification_date": "2022-02-09",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "CA",
"license": "301698",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in El Segundo, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 9, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.