Optimum Care Provider, Inc.
NPI 1114211885ActiveOrganization· Physical Therapist· Victorville, CA
Physical Therapist in Victorville, California, registered in NPPES in May 2011. The authorized official on file is Eleazar Somintac Tayag, PT, Ceo.
Overview
| NPI | 1114211885 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | May 31, 2011 |
| Last updated in NPPES | Oct 15, 2023 |
| Certified by provider | Oct 15, 2023 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physical Therapist Primary | 225100000X | 33402 | CA |
| Occupational Therapist | 225X00000X | — | — |
| Speech-Language Pathologist | 235Z00000X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
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