Individual provider Active NPI

Belarmino Tegon Quigao Jr., PT, DPT

  • Physical Therapist
  • Los Angeles, CA
National Provider Identifier
1972389492
Registry record updated Sep 1, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
302654 Issued in CA
Practice address
1313 W 8TH St Ste 100
Los Angeles, CA 90017-4422
Phone
(213) 401-1970
NPI assigned
Sep 1, 2023
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 1, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 302654 CA Primary

Addresses

Primary practice location

1313 W 8TH St Ste 100
Los Angeles, CA 90017-4422

Mailing address

1609 N Normandie Ave Apt 504
Los Angeles, CA 90027-5193
Phone (213) 327-5023

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

LicenseStateTypeSpecialty
302654CAMDPhysical Therapist

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1693526400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1693526400000",
    "number": "1972389492",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1609 N NORMANDIE AVE APT 504",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900275193",
            "telephone_number": "213-327-5023"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1313 W 8TH ST STE 100",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900174422",
            "telephone_number": "213-401-1970"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "QUIGAO",
        "first_name": "BELARMINO",
        "middle_name": "TEGON",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-09-01",
        "last_updated": "2023-09-01",
        "certification_date": "2023-09-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "302654",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Los Angeles, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 1, 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.

Verify at the official NPI Registry.