Active NPI
James Pahuyo
- Physical Therapist
- San Bernardino, CA
National Provider Identifier
1972385649
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 304719
- Practice address
- 2575 Steele Rd Apt 107
San Bernardino, CA 92408-3974 - Phone
- (757) 553-4893
- NPI assigned
- Oct 17, 2023
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 304719 | CA | Primary |
Addresses
Primary practice location
2575 Steele Rd Apt 107
San Bernardino, CA 92408-3974
Mailing address
2575 Steele Rd Apt 107
San Bernardino, CA 92408-3974
Phone (757) 553-4893
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 304719 | CA | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1697500800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1697500800000",
"number": "1972385649",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2575 STEELE RD APT 107",
"city": "SAN BERNARDINO",
"state": "CA",
"postal_code": "924083974",
"telephone_number": "757-553-4893"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2575 STEELE RD APT 107",
"city": "SAN BERNARDINO",
"state": "CA",
"postal_code": "924083974",
"telephone_number": "757-553-4893"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PAHUYO",
"first_name": "JAMES",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2023-10-17",
"last_updated": "2023-10-17",
"certification_date": "2023-10-17",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "CA",
"license": "304719",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in San Bernardino, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 17, 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.