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KEVIN CERVANTES
NPI 1437989035
Physical Therapist - Orthopedic in El Segundo, CA

Active since August 07, 2024
325 MAIN ST, EL SEGUNDO, CA 90245(310) 648-3167 Get Directions Write a Review

NPPES record last updated: August 7, 2024. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Kevin Cervantes NPPES

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

KEVIN CERVANTES (NPI 1437989035) is an individual orthopedic provider in El Segundo, California and active in the NPI registry since August 2024.

NPPES Registry Identity

NPI1437989035
Entity TypeIndividualMale
Primary Taxonomy2251X0800X
Provider Legal NameKEVIN CERVANTES
Location Address325 MAIN STEl Segundo, CA 90245-3814
Mailing Address6722 Santa Fe AveHuntington Park, CA 90255-3904 · (323) 817-8200
Phone(310) 648-3167
Sole ProprietorNo
Enumeration DateAugust 7, 2024
NPPES CertifiedAugust 7, 2024
✔ NPI 1437989035 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysical Therapist · OrthopedicRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Taxonomy Code2251X0800X
Definition
A licensed physical therapist, including but not limited to an individual who is a Board Certified Specialist in Orthopaedic Physical Therapy, who has demonstrated specialized knowledge and skill in human anatomy and physiology, movement science; pathology/pathophysiology, pain science, medical and surgical considerations, orthopaedic physical therapy theory and practice, and critical inquiry for evidence-based practice.
325 MAIN ST, El Segundo, CA 90245
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Kevin Cervantes is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Billing Reassignments

2

Medicare enrollment records show Kevin Cervantes reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Davis And Derosa Physical Therapy, Inc
Same address
Physical Therapist
325 MAIN ST
El Segundo, CA 90245
  • Reassigned Medicare billing, California enrollment
  • 22 clinicians in this Medicare group
NPI 1558414102 (310) 648-3167
Manhattan Beach Pacific Physical Therapy Inc
Same address
Physical Therapist
327 MAIN ST
El Segundo, CA 90245
  • Reassigned Medicare billing, California enrollment
  • 22 clinicians in this Medicare group
NPI 1396799458 (310) 725-8505

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

Other Providers at the Same Location NPPES 16

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

CHRISTOPHER P DEROSA RPT
Physical Therapist
325 MAIN ST
EL SEGUNDO, CA 90245
Los Angeles County (310) 648-3167
LIANNE K KOO DPT
Physical Therapist
325 MAIN ST
EL SEGUNDO, CA 90245
Los Angeles County (310) 648-3167
ANA BEQAJ PT, DPT
Physical Therapist
325 MAIN ST
EL SEGUNDO, CA 90245
Los Angeles County (310) 648-3167
MICHELLE KHOSHABA
Physical Therapist
325 MAIN ST
EL SEGUNDO, CA 90245
Los Angeles County (310) 648-3167
SETH T POTTENGER
Physical Therapist
325 MAIN ST
EL SEGUNDO, CA 90245
Los Angeles County (310) 648-3167
GARRET WONG RPT
Physical Therapist
325 MAIN ST
EL SEGUNDO, CA 90245
Los Angeles County (310) 648-3167
CHRISTINE MARIE WHITE PT, DPT
Physical Therapist
325 MAIN ST
EL SEGUNDO, CA 90245
Los Angeles County (310) 648-3167
MICHAEL OVERSTREET PT
Physical Therapist
325 MAIN ST
EL SEGUNDO, CA 90245
Los Angeles County (310) 648-3167

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 Kevin Cervantes's NPI number?

The NPI number for Kevin Cervantes is 1437989035. It was assigned to this individual provider in the NPPES registry on August 7, 2024.

Where is Kevin Cervantes located?

Kevin Cervantes practices at 325 Main St, El Segundo, CA 90245. The listed phone number is (310) 648-3167.

What is Kevin Cervantes's specialty?

The primary specialty registered for this NPI is Physical Therapist, specializing in Orthopedic, with taxonomy code 2251X0800X.

Is Kevin Cervantes enrolled in Medicare?

Yes. Kevin Cervantes is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Kevin Cervantes's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Kevin Cervantes reassigns Medicare benefits to 2 organizations: Davis And Derosa Physical Therapy, Inc (El Segundo, CA) and Manhattan Beach Pacific Physical Therapy Inc (El Segundo, CA). Each 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 Kevin Cervantes's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Kevin Cervantes was last updated on August 7, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.