| Shruti J Amin, DPT | |
|
1695 S San Jacinto Ave Ste C, San Jacinto, CA 92583-5103 | |
| (951) 696-9353 | |
| (951) 973-7216 |
| Full Name | Shruti J Amin |
|---|---|
| Gender | Female |
| Speciality | Physical Therapist |
| Location | 1695 S San Jacinto Ave Ste C, San Jacinto, California |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1568957256 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | (* (Not Available)) | Secondary |
| 225100000X | Physical Therapist | 294979 (California) | Primary |
| Provider Name | Southern California Permanente Medical Group |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1316979834 PECOS PAC ID: 6002729175 Enrollment ID: O20040126000823 |
| Mailing Address | Practice Location Address |
|---|---|
| Shruti J Amin, DPT 24630 Washington Ave Ste 200, Murrieta, CA 92562-6177 Ph: (951) 696-9353 | Shruti J Amin, DPT 1695 S San Jacinto Ave Ste C, San Jacinto, CA 92583-5103 Ph: (951) 696-9353 |
Marion Gregorio, Physical Therapist Medicare: Medicare Enrolled Practice Location: 1695 S San Jacinto Ave, San Jacinto, CA 92583 Phone: 951-665-1510 | |
Kristopher G. Davies, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 1695 S San Jacinto Ave, Suite C & D, San Jacinto, CA 92583 Phone: 951-665-1510 Fax: 951-665-1515 | |
Mera Hashwani, PT, DPT Physical Therapist Medicare: May Accept Medicare Assignments Practice Location: 1695 S San Jacinto Ave Ste C, San Jacinto, CA 92583 Phone: 951-665-1515 | |
Nansy Perez Christianson, PT Physical Therapist Medicare: Medicare Enrolled Practice Location: 1604 South Santa Fe, Suite 401, San Jacinto, CA 92583 Phone: 951-487-9317 Fax: 951-487-9371 | |
Ashlee Gribble, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1604 S Santa Fe Ave Ste 401, San Jacinto, CA 92583 Phone: 951-487-9317 | |
Jaime Hinahon, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1695 S San Jacinto Ave, Unit C, San Jacinto, CA 92583 Phone: 951-665-1510 Fax: 951-665-1515 |