Imperial Physical Therapy P C
NPI 1326890385ActiveOrganization· Physical Therapist· Victorville, CA
Physical Therapist in Victorville, California, registered in NPPES in April 2024. The authorized official on file is Eleazar Somintac Tayag, PT, DPT, MPH, Ceo/Administrator. Enrolled in Medicare as part b supplier - physical/occupational therapy group in private practice.
Overview
| NPI | 1326890385 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Apr 3, 2024 |
| Last updated in NPPES | Oct 20, 2025 |
| Certified by provider | Oct 20, 2025 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physical Therapist Primary | 225100000X | — | — |
| 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) | Enrolled Part B Supplier - Physical/Occupational Therapy Group in Private Practice (CA) |
|---|
Other Physical Therapist providers in Victorville
- 1639117864
- 1457332884
- 1114211885
- 1508948837
- 1881722999
- 1497230759
- 1366484131
- 1174270466
- 1942589379
- 1578738829
- 1467474486
- 1871300269