Provider Demographics
NPI:1598950099
Name:MAGAT, ALVIN ERASGA (PT,CEAS)
Entity Type:Individual
Prefix:MR
First Name:ALVIN
Middle Name:ERASGA
Last Name:MAGAT
Suffix:
Gender:M
Credentials:PT,CEAS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:3331 DESERTWOOD LN
Mailing Address - Street 2:
Mailing Address - City:SAN JOSE
Mailing Address - State:CA
Mailing Address - Zip Code:95132-3524
Mailing Address - Country:US
Mailing Address - Phone:408-263-7692
Mailing Address - Fax:408-263-7692
Practice Address - Street 1:4655 RUFFNER ST
Practice Address - Street 2:STE. 270
Practice Address - City:SAN DIEGO
Practice Address - State:CA
Practice Address - Zip Code:92111-2275
Practice Address - Country:US
Practice Address - Phone:800-787-6787
Practice Address - Fax:800-787-6762
Is Sole Proprietor?:No
Enumeration Date:2007-09-09
Last Update Date:2022-01-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAPT26700225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist