Active NPI
Angelique Fiona Pelicano Adams, PT, DPT
- Physical Therapist
- Murrieta, CA
National Provider Identifier
1952804510
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 294584
- Practice address
- 25150 Hancock Ave Ste 100
Murrieta, CA 92562-5988 - Phone
- (951) 698-7720
- Fax
- (951) 698-7451
- NPI assigned
- Mar 9, 2018
- Last updated
- Mar 9, 2018
- Sex
- Female
- 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 | 294584 | CA | Primary |
Addresses
Primary practice location
25150 Hancock Ave Ste 100
Murrieta, CA 92562-5988
Mailing address
24630 Washington Ave Ste 200
Murrieta, CA 92562-6177
Phone (951) 696-9353
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20180430000521 | CA | Practitioner - Physical Therapist in Private Practice | 8628332673 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1520553600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1520553600000",
"number": "1952804510",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "24630 WASHINGTON AVE STE 200",
"city": "MURRIETA",
"state": "CA",
"postal_code": "925626177",
"telephone_number": "951-696-9353",
"fax_number": "951-973-7216"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "25150 HANCOCK AVE STE 100",
"city": "MURRIETA",
"state": "CA",
"postal_code": "925625988",
"telephone_number": "951-698-7720",
"fax_number": "951-698-7451"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ADAMS",
"first_name": "ANGELIQUE",
"middle_name": "FIONA PELICANO",
"credential": "PT, DPT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-03-09",
"last_updated": "2018-03-09",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "CA",
"license": "294584",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Murrieta, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 9, 2018; 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.