Active NPI
Nerman Pimentel, PTA
- Physical Therapist
- El Monte, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 299595
- Practice address
- 12100 Valley Blvd Ste 109a
El Monte, CA 91732-3161 - Phone
- (626) 575-7500
- Fax
- (626) 575-1956
- NPI assigned
- Oct 21, 2016
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapy Assistant | 225200000X | AT10385 | CA | |
| Physical Therapist | 225100000X | 299595 | CA | Primary |
Addresses
Primary practice location
12100 Valley Blvd Ste 109a
El Monte, CA 91732-3161
Mailing address
8510 Balboa Blvd
Ste 150
Northridge, CA 91325-3583
Phone (818) 637-2000
Other practice location 1
8510 Balboa Blvd
Ste 150
Northridge, CA 91325-3583
Phone (818) 637-2000
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| SOAP URL | https://careepicwest.kp.org:14430/Interconnect-prodcalgateway/wcf/epic.community.hie/xcpdrespondinggatewaysync.svc/scalceq | Health Information Exchange (HIE) | Southern California Permanente Medical Group |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| AT10385 | CA | MD | Physical Therapy Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Southern California Permanente Medical Group | Current | Accepting new patients | |
| Southern California Permanente Medical Group | Current | Accepting new patients |
Locations
441 N Lakeview Ave
Anaheim, CA 92807
Phone (714) 279-4000
5475 E La Palma Ave
Anaheim, CA 92807
Phone (714) 279-6088
4201 W Chapman Ave
Orange, CA 92868
Phone (714) 748-6210
1255 W Arrow Hwy
San Dimas, CA 91773
Phone (909) 394-2526
Interoperability endpoints
- nerman.pimental.p1@direct.lakeside.nextgenshare.com
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.
-
- Health Maintenance Organization
- Baldwin Park, CA
- NPI 1770515280
-
- Health Maintenance Organization
- Santa Clarita, CA
- NPI 1316409410
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1477008000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1698364800000",
"number": "1982155289",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8510 BALBOA BLVD",
"address_2": "STE 150",
"city": "NORTHRIDGE",
"state": "CA",
"postal_code": "913253583",
"telephone_number": "818-637-2000",
"fax_number": "818-654-3417"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12100 VALLEY BLVD STE 109A",
"city": "EL MONTE",
"state": "CA",
"postal_code": "917323161",
"telephone_number": "626-575-7500",
"fax_number": "626-575-1956"
}
],
"practiceLocations": [
{
"address_1": "8510 Balboa Blvd",
"address_2": "Ste 150",
"address_purpose": "LOCATION",
"city": "Northridge",
"state": "CA",
"postal_code": "913253583",
"country_code": "US",
"telephone_number": "818-637-2000",
"fax_number": "818-654-3417",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "PIMENTEL",
"first_name": "NERMAN",
"name_prefix": "Mr.",
"credential": "PTA",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2016-10-21",
"last_updated": "2023-10-27",
"certification_date": "2020-12-22",
"status": "A"
},
"taxonomies": [
{
"code": "225200000X",
"taxonomy_group": "",
"desc": "Physical Therapy Assistant",
"state": "CA",
"license": "AT10385",
"primary": false
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "CA",
"license": "299595",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "SOAP",
"endpointTypeDescription": "SOAP URL",
"endpoint": "https://careepicwest.kp.org:14430/Interconnect-prodcalgateway/wcf/epic.community.hie/xcpdrespondinggatewaysync.svc/scalceq",
"affiliation": "Y",
"endpointDescription": "Carequality",
"affiliationName": "Southern California Permanente Medical Group",
"use": "HIE",
"useDescription": "Health Information Exchange (HIE)",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "C-CDA",
"address_1": "441 N Lakeview Ave",
"city": "Anaheim",
"state": "CA",
"country_code": "US",
"postal_code": "928073028",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in El Monte, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 27, 2023; 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.