RANCHO BERNARDO HEALTHCARE LLC
NPI 1215622071
Physical Therapist in San Diego, CA

Active since April 07, 2023
3750 CONVOY ST STE 220, SAN DIEGO, CA 92111(619) 452-7000 Get Directions Write a Review

NPPES record last updated: April 7, 2023. Verified against the NPPES registry weekly; last sync: August 30, 2026.

About Rancho Bernardo Healthcare Llc NPPES

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

RANCHO BERNARDO HEALTHCARE LLC (NPI 1215622071) is a healthcare organization registered as a physical therapist in San Diego, California and active in the NPI registry since April 2023. The organization lists Lee Johnson, Treasurer, as its authorized official.

NPPES Registry Identity

NPI1215622071
Entity TypeOrganization
Primary Taxonomy225100000X
Legal Business NameRANCHO BERNARDO HEALTHCARE LLC
Location Address3750 CONVOY ST STE 220San Diego, CA 92111-3741
Mailing Address3750 Convoy St Ste 220San Diego, CA 92111-3741
Organization SubpartNo
Authorized OfficialLee JohnsonTreasurer · (208) 401-1369
Enumeration DateApril 7, 2023
NPPES CertifiedApril 7, 2023
NPI 1215622071 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

Primary SpecialtyPhysical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Taxonomy Code225100000X
Definition
Physical therapists (PTs) are licensed health care professionals who diagnose and treat individuals of all ages, from newborns to the very oldest, who have medical problems or other health-related conditions that limit their abilities to move and perform functional activities in their daily lives. PTs examine each individual and develop a plan using treatment techniques to promote the ability to move, reduce pain, restore function, and prevent disability. In addition, PTs work with individuals to prevent the loss of mobility before it occurs by developing fitness- and wellness-oriented programs for healthier and more active lifestyles. PTs:
  • Diagnose and manage movement dysfunction and enhance physical and functional abilities.
  • Restore, maintain, and promote not only optimal physical function but optimal wellness and fitness and optimal quality of life as it relates to movement and health.
  • Prevent the onset, symptoms, and progression of impairments, functional limitations, and disabilities that may result from diseases, disorders, conditions, or injuries.
  • Treat conditions of the musculoskeletal, neuromuscular, cardiovascular, pulmonary, and/or integumentary systems.
  • Address the negative effects attributable to unique personal and environmental factors as they relate to human performance.
PTs provide care for people in a variety of settings, including hospitals, private practices, outpatient clinics, home health agencies, schools, sports and fitness facilities, work settings, and nursing homes. State licensure is required in each state in which a PT practices.
Also ListedOccupational TherapistTaxonomy 225X00000X
Also ListedSpeech-Language PathologistTaxonomy 235Z00000X
3750 CONVOY ST STE 220, San Diego, CA 92111

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 05D0720943

Rancho Bernardo Healthcare LLC Dba Seaport Scripps Home Health · San Diego, CA
Expired · Aug 31, 2026
CLIA Number05D0720943
Laboratory TypeHome Health Agency
Certificate Effective DateSeptember 1, 2024
Certificate Expiration DateAugust 31, 2026
Laboratory DirectorDr. Sam Baroudi
Laboratory Phone(619) 452-7000
Laboratory LocationRancho Bernardo Healthcare LLC Dba Seaport Scripps Home Health3750 Convoy Street, Suite 220, San Diego, CA 92111
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Home Health
3750 CONVOY ST STE 220
SAN DIEGO, CA 92111
In Home Supportive Care
3750 CONVOY ST STE 220
SAN DIEGO, CA 92111

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 Rancho Bernardo Healthcare LLC's NPI number?

The NPI number for Rancho Bernardo Healthcare LLC is 1215622071. It was assigned to this organization in the NPPES registry on April 7, 2023.

Where is Rancho Bernardo Healthcare LLC located?

Rancho Bernardo Healthcare LLC is located at 3750 Convoy St Ste 220, San Diego, CA 92111. The listed phone number is (619) 452-7000.

What is Rancho Bernardo Healthcare LLC's specialty?

The primary specialty registered for this NPI is Physical Therapist with taxonomy code 225100000X.

When was this NPI record last updated?

The NPPES record for Rancho Bernardo Healthcare LLC was last updated on April 7, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.