Provider Demographics
NPI:1427394659
Name:ARAGA, CHELSEA (DPT)
Entity Type:Individual
Prefix:
First Name:CHELSEA
Middle Name:
Last Name:ARAGA
Suffix:
Gender:F
Credentials:DPT
Other - Prefix:
Other - First Name:CHELSEA
Other - Middle Name:
Other - Last Name:YOKOYAMA
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:299 W FOOTHILL BLVD
Mailing Address - Street 2:SUITE 200
Mailing Address - City:UPLAND
Mailing Address - State:CA
Mailing Address - Zip Code:91786
Mailing Address - Country:US
Mailing Address - Phone:909-985-2337
Mailing Address - Fax:
Practice Address - Street 1:299 W FOOTHILL BLVD
Practice Address - Street 2:SUITE 200
Practice Address - City:UPLAND
Practice Address - State:CA
Practice Address - Zip Code:91786-3804
Practice Address - Country:US
Practice Address - Phone:909-985-2337
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2012-12-16
Last Update Date:2017-02-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA39699225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
CACA183928Medicare PIN
CAZZZ23993ZMedicare PIN
CACB248730Medicare PIN
CAZZZ30106ZMedicare PIN
CACA183929Medicare PIN
CAW17215BMedicare PIN