ASSOCIATED SPORTS THERAPY MEDICAL CENTER
NPI 1174556971
Specialist in Monterey Park, CA

Q: What is Associated Sports Therapy Medical Center's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

Active since July 08, 2006

880 S ATLANTIC BLVD, SUITE 205, MONTEREY PARK, CA 91754(626) 828-3577(626) 308-2083 Get Directions Write a Review

NPPES record last updated: August 11, 2020. Verified against the NPPES registry weekly; last sync: October 25, 2026.

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About Associated Sports Therapy Medical Center NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ASSOCIATED SPORTS THERAPY MEDICAL CENTER (NPI 1174556971) is a healthcare organization registered as a specialist in Monterey Park, California and active in the NPI registry since July 2006. The organization lists Alicia Ontiveros, Administrator, as its authorized official.

NPPES Registry Identity

NPI1174556971

Entity TypeOrganization

Primary Taxonomy174400000X

Legal Business NameASSOCIATED SPORTS THERAPY MEDICAL CENTER

Location Address880 S ATLANTIC BLVD, SUITE 205Monterey Park, CA 91754-4700

Mailing Address880 S Atlantic Blvd, Suite 205Monterey Park, CA 91754-4700 · (626) 828-3577 · Fax (626) 308-2083

Phone(626) 828-3577

Fax(626) 308-2083

Organization SubpartNo

Authorized OfficialAlicia OntiverosAdministrator · (626) 289-0178

Enumeration DateJuly 8, 2006

Last NPPES UpdateAugust 11, 2020

NPPES CertifiedAugust 11, 2020

✔ NPI 1174556971 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialistOther Service Providers

Taxonomy Code174400000X

License✔ Licensed in CA · 17107

Definition

An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

880 S ATLANTIC BLVD, Monterey Park, CA 91754

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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X MULTIPLE SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Associated Sports Therapy Medical Center is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Associated Sports Therapy Medical Center, which bills Medicare for the services this clinician delivers.

Clinician (1)

Tomas Saucedo, M.D.

Orthopedic Surgery

NPI 1104872787

880 S ATLANTIC BLVD SUITE 205
Monterey Park, CA 91754

(626) 289-0178

✔ PECOS✔ Accepts MedicareSame address

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Associated Sports Therapy Medical Center's NPI number?

The NPI number for Associated Sports Therapy Medical Center is 1174556971. It was assigned to this organization in the NPPES registry on July 8, 2006.

Where is Associated Sports Therapy Medical Center located?

Associated Sports Therapy Medical Center is located at 880 S Atlantic Blvd Suite 205, Monterey Park, CA 91754. The listed phone number is (626) 828-3577.

What is Associated Sports Therapy Medical Center's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

Is Associated Sports Therapy Medical Center enrolled in Medicare?

Yes. Associated Sports Therapy Medical Center is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Associated Sports Therapy Medical Center?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Orthopedic Surgery) reassigns their Medicare billing to Associated Sports Therapy Medical Center. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Associated Sports Therapy Medical Center was last updated on August 11, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.