Celeste T Vergara, PT | |
18700 Beach Blvd, 120, Huntington Beach, CA 92648-2030 | |
(714) 962-6760 | |
(714) 962-5961 |
Full Name | Celeste T Vergara |
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Gender | Female |
Speciality | Physical Therapist - Pediatrics |
Location | 18700 Beach Blvd, Huntington Beach, California |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1649417411 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225100000X | Physical Therapist | PT 35311 (California) | Secondary |
2251P0200X | Physical Therapist - Pediatrics | 35311 (California) | Primary |
Provider Name | Southern California Permanente Medical Group |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1770515280 PECOS PAC ID: 6002729175 Enrollment ID: O20031110000678 |
Mailing Address | Practice Location Address |
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Celeste T Vergara, PT 18700 Beach Blvd, 120, Huntington Beach, CA 92648-2030 Ph: (714) 962-6760 | Celeste T Vergara, PT 18700 Beach Blvd, 120, Huntington Beach, CA 92648-2030 Ph: (714) 962-6760 |
David H Vu, DPT, PT Physical Therapist Medicare: Medicare Enrolled Practice Location: 19582 Beach Blvd Ste 130, Huntington Beach, CA 92648 Phone: 714-841-6162 | |
Kelly Rose Peterson, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 18800 Delaware St Ste 350, Huntington Beach, CA 92648 Phone: 714-848-8318 | |
Joseph Passin, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 7401 Yorktown Ave, Huntington Beach, CA 92648 Phone: 609-705-7672 | |
Kylie Faildo, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 19531 Beach Blvd, Huntington Beach, CA 92648 Phone: 714-960-7995 | |
Rumei Yeh, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 18922 Delaware St, Huntington Beach, CA 92648 Phone: 657-325-8864 | |
Christopher Johnston, DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 19582 Beach Blvd, Suite 130, Huntington Beach, CA 92648 Phone: 714-841-6162 Fax: 714-841-9912 | |
Jessica Mouw, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 10109 Holburn Dr, Huntington Beach, CA 92646 Phone: 909-573-9443 |