MATTHEW PANGAN SERRANO (NPI# 1336619766) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1336619766 |
| Entity Type | Individual |
| Full Name | MATTHEW PANGAN SERRANO |
| Credential | DPT |
| Practice Address |
3760 Convoy St Ste 100 San Diego CA 92111-3743 |
| Mailing Address |
3760 Convoy St Ste 101 San Diego CA 92111-3743 |
| Practice Telephone | 8585739368 |
| Practice Fax Number | 8585730582 |
| Mailing Telephone | 8882088526 |
| Mailing Fax Number | 8587510901 |
| Enumeration Date | 2018-11-28 |
| Last Update Date | 2018-11-28 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225100000X | Physical Therapist | PT295728 | CA | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
3760 CONVOY ST STE 100 |
| City | SAN DIEGO |
| State | CA |
| Zip Code | 92111-3743 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578526950 | Amy V. St. John | Physical Therapist | 3760 Convoy St Ste 100, San Diego, CA 92111-3743 | 2006-04-07 |
| 1073129615 | Kelsey Lowe | Physical Therapist | 3760 Convoy St Ste 100, San Diego, CA 92111-3743 | 2020-09-18 |
| 1215546510 | Michael Anthony Gaspari | Physical Therapist | 3760 Convoy St Ste 100, San Diego, CA 92111-3743 | 2020-07-23 |
| 1578195954 | Timothy Alan Luttik | Physical Therapist | 3760 Convoy St Ste 100, San Diego, CA 92111-3743 | 2020-02-04 |
| 1700421054 | Ryan Carpenter | Physical Therapist | 3760 Convoy St Ste 100, San Diego, CA 92111-3743 | 2019-11-11 |
| 1780154237 | Ayelet Keinan | Physical Therapist | 3760 Convoy St Ste 100, San Diego, CA 92111-3743 | 2018-11-27 |
| 1215417456 | Starla Kristen Schwartz | Physical Therapist | 3760 Convoy St Ste 100, San Diego, CA 92111 | 2018-08-17 |
| 1295234987 | Yunnuen Oliveros | Physical Therapist | 3760 Convoy St Ste 100, San Diego, CA 92111-3743 | 2018-02-07 |
| 1295241537 | Jessica Heim | Physical Therapist | 3760 Convoy St Ste 100, San Diego, CA 92111-3743 | 2017-12-22 |
| 1053659854 | Alexander Rheaume | Physical Therapist | 3760 Convoy St Ste 100, San Diego, CA 92111-3743 | 2013-01-29 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982220653 | Karen Elizabeth Mitchell | Registered Nurse | County of San Diego California Children's Services (ccs, 6991 Balboa Ave, (room 70), San Diego, CA 92111 | 2020-06-18 |
| 1912523804 | Access Medical, Inc. | Durable Medical Equipment & Medical Supplies | 4150 Convoy Street, Suite A, San Diego, CA 92111 | 2020-06-17 |
| 1154944551 | Mei Ling Milan Szeto | Student in an Organized Health Care Education/Training Program | 7917 Ostrow Street, Suite A, San Diego, CA 92111 | 2020-05-20 |
| 1346893831 | Leticia Isabel Peralta | Assistant Behavior Analyst | 563 Balboa Avenue. Number 521, San Diego, CA 92111 | 2019-07-23 |
| 1295204394 | Demetria Serfas | Behavioral Analyst | 563 Balboa Ave #521, San Diego, CA 92111 | 2018-11-19 |
| 1568981678 | Ross Psychology | Psychologist | 4883 Ronson Court, Suite K, San Diego, CA 92111 | 2017-09-11 |
| 1225554587 | Bianca Acosta | Technician, Other | 563 Balboa Ave. #521, San Diego, CA 92111 | 2017-08-18 |
| 1194240085 | Kazuhiro Kato | Dentist | 3707 Convoy St., San Diego, CA 92111 | 2017-08-11 |
| 1073038527 | Joanne Epps-yentz | Licensed Vocational Nurse | 7414 Mesa College Dr. Apt 47, San Diego, CA 92111 | 2017-08-06 |
| 1184158446 | Positive Behavior Supports Corp | Community/Behavioral Health | 563 Balboa Ave, 521, San Diego, CA 92111 | 2017-04-13 |
| Find all providers in zip 92111 | ||||
| Taxonomy Code | 225100000X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Physical Therapist |
| (1) Physical therapists are health care professionals who evaluate and treat people with health problems resulting from injury or disease. PT’s assess joint motion, muscle strength and endurance, function of heart and lungs, and performance of activities required in daily living, among other responsibilities. Treatment includes therapeutic exercises, cardiovascular endurance training, and training in activities of daily living. (2) A physical therapist is a person qualified by an accredited program in physical therapy, licensed by the state, and practicing within the scope of that license. Physical therapists treat disease, injury, or loss of a bodily part by physical means, such as the application of light, heat, cold, water, electricity, massage and exercise. They develop treatment plans based upon each patient’s strengths, weaknesses, range of motion and ability to function. (3) A health professional who specializes in physical therapy- the health care field concerned primarily with the treatment of disorders with physical agents and methods, such as massage, manipulation, therapeutic exercises, cold, heat (including short-wave, microwave, and ultrasonic diathermy), hydrotherapy, electric stimulation and light to assist in rehabilitating patients and in restoring normal function after an illness or injury. |
| Notes: Source: (1) APTA Guidelines for Physical Therapy Claims Review, American Physical Therapy Association. (3) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, IL: 1994, p. 612 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225644917 | Anna Hand | Physical Therapist | 5945 Pacific Center Blvd Bldg #510, San Diego, CA 92121 | 2020-09-18 |
| 1760097836 | Eileen Salonga | Physical Therapist | 3840 Pendiente Ct Apt U103, San Diego, CA 92124-3726 | 2020-09-15 |
| 1356953608 | Holly Alves | Physical Therapist | 3850 Xenophon St, San Diego, CA 92107-1615 | 2020-08-18 |
| 1982216461 | Mallari Snyder Physical Therapy P.C. | Physical Therapist | 3636 4th Ave Ste 200, San Diego, CA 92103-4237 | 2020-08-17 |
| 1639780851 | Jaime Zinn | Physical Therapist | 7760 Pipit Pl, San Diego, CA 92129-4528 | 2020-08-11 |
| 1134737570 | Louis Noel Quintana | Physical Therapist | 1615 32nd St, San Diego, CA 92102-1607 | 2020-07-22 |
| 1467070821 | Dionisio Wilkins | Physical Therapist | 3455 Kearny Villa Rd Apt 158, San Diego, CA 92123-1975 | 2020-07-10 |
| 1730706862 | Function In Movement Physical Therapy | Physical Therapist | 1351 Reed Ave Apt 1, San Diego, CA 92109-5133 | 2020-07-06 |
| 1255956876 | Melanie Elizabeth Hoad | Physical Therapist | 7858 Cowles Mountain Ct Unit D11, San Diego, CA 92119-2549 | 2020-06-09 |
| 1265056006 | Michael Andrew Williams | Physical Therapist | 11165 Caminito Vista Serena, San Diego, CA 92131-3304 | 2020-06-07 |
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| 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.