KING CITY PHYSICAL THERAPY APC (NPI# 1043379282) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1043379282 |
| Entity Type | Organization |
| Organization Name | KING CITY PHYSICAL THERAPY APC |
| Other Organization Name | SUMMIT PHYSICAL THERAPY |
| Practice Address |
200 Broadway St Ste 28 King City CA 93930-2865 |
| Practice Telephone | 8313869710 |
| Mailing Telephone | 8313869710 |
| Enumeration Date | 2006-12-06 |
| Last Update Date | 2008-06-03 |
| Authorized Official Name | MS. DEBBIE L ESTRADA (BILLING MANAGER) |
| Authorized Official Telephone | 8052274156 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QP2000X |
Clinic/Center Specialization: Physical Therapy |
PT06391 | CA | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | GPT001411 | 05 | |
| CA | BLUE CROSS OF CALIF | PT6391 | 01 |
| CA | BLUE SHIELD OF CALIF | ZZZ06333Z | 01 |
| Other Name | Type Code |
|---|---|
| SUMMIT PHYSICAL THERAPY | Other Name - Individual/Organization |
| Street Address |
200 BROADWAY ST STE 28 |
| City | KING CITY |
| State | CA |
| Zip Code | 93930-2865 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437510641 | Christina Sandoval | Counselor | 200 Broadway St, 70, King City, CA 93930 | 2016-03-15 |
| 1134598931 | Xochitl Mayorga | Peer Specialist | 200 Broadway St, Suite 70, King City, CA 93930-2865 | 2015-09-22 |
| 1376920850 | Celia Trujillo | Counselor | 200 Broadway St, King City, CA 93930 | 2015-05-04 |
| 1407254477 | County of Monterey | Family Medicine | 200 Broadway St, Suite 70, King City, CA 93930-2865 | 2014-12-08 |
| 1750784427 | Monterey County Behavioral Health | Clinic/Center | 200 Broadway St, Suite 70, King City, CA 93930-2865 | 2014-10-08 |
| 1912183310 | Ignacio Francisco Pacheco | Social Worker | 200 Broadway St, Suite 70, King City, CA 93930-2865 | 2008-01-15 |
| 1306033220 | County of Monterey Behavioral Health | Community/Behavioral Health | 200 Broadway St, Suite 88, King City, CA 93930-2865 | 2007-09-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841841202 | Carl Jorgensen | Pharmacist | Riteaid, 540 Canal Street, King City, CA 93930 | 2019-09-26 |
| 1750780284 | Kayla Noon | Counselor | 200 Broadway St., Suite 70, King City, CA 93930 | 2014-08-20 |
| 1831323906 | Tawfiq Imam | Pharmacist | 540 Canal St, Rite Aid Pharmacy #5880, King City, CA 93930 | 2009-05-05 |
| 1588165351 | Mirella Mendoza | Nurse Practitioner | 122 E San Antonio Dr, King City, CA 93930 | 2018-02-26 |
| 1497152078 | Nguyen Pham | Internal Medicine | 300 Canal St, King City, CA 93930 | 2014-11-26 |
| 1104171925 | Hassan Jadid | Internal Medicine | 300 Canal St, King City, CA 93930 | 2012-07-18 |
| 1821227422 | Jovanna M Velazquez | Technician, Other | 200 Broadway, Suite 88, King City, CA 93930 | 2009-07-06 |
| 1598961161 | Diane Lynn Hardy | Marriage & Family Therapist | 522 Broadway St, Suite D, King City, CA 93930 | 2007-06-21 |
| 1700901865 | James Francis Matthews | Pharmacist | 425 Broadway, King City, CA 93930 | 2007-03-20 |
| 1386757433 | Bruce Williams | Dentist | 122 San Antonio Drive, King City, CA 93930-0000 | 2006-08-15 |
| Find all providers in zip 93930 | ||||
| Taxonomy Code | 261QP2000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Physical Therapy |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467051839 | The Pelvic Model Physical Therapy, Inc. | Clinic/Center | 3761 Vinton Ave Apt 6, Los Angeles, CA 90034-5781 | 2020-10-18 |
| 1932707957 | Body In Motion Therapy, P.c | Clinic/Center | 1111 S Grand Ave Apt 708, Los Angeles, CA 90015-2169 | 2020-10-12 |
| 1992303275 | Vw Physical Therapy, Inc. | Clinic/Center | 100 Saybrook Ave, Vacaville, CA 95687-4129 | 2020-10-09 |
| 1730787094 | Movement System Institute Physiotherapy Inc | Clinic/Center | 508 Glenwood Rd Apt 102, Glendale, CA 91202-1572 | 2020-10-09 |
| 1538766530 | Sterling King Physical Therapy | Clinic/Center | 1820 Fullerton Ave Ste 280, Corona, CA 92881-3175 | 2020-10-03 |
| 1902403041 | Jha Geriatric Services, Inc | Clinic/Center | 12490 Fielding Circle, Suite 174, Playa Vista, CA 90094-3024 | 2020-10-01 |
| 1245847540 | Bespoke San Diego Physical Therapy PC | Clinic/Center | 2748 Ariane Dr, Unit 141, San Diego, CA 92117-3407 | 2020-09-30 |
| 1285241786 | Rapid Recovery Physical Therapy Inc | Clinic/Center | 39807 Paseo Padre Pkwy, Fremont, CA 94538-2974 | 2020-09-28 |
| 1053928697 | Bonnie Laine Lasher | Clinic/Center | 33772 Copper Lantern St Apt C, Dana Point, CA 92629-6427 | 2020-09-28 |
| 1295340792 | Naum Physical Therapy PC | Clinic/Center | 11405 Fulbourn Ct, Rancho Cucamonga, CA 91730-8341 | 2020-09-10 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on KING CITY PHYSICAL THERAPY APC.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.