DAVID SEQUINO BAMBILLA DPT
NPI 1871372789
Physical Therapist in San Rafael, CA
About David Sequino Bambilla Dpt NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DAVID SEQUINO BAMBILLA DPT (NPI 1871372789) is an individual physical therapist in San Rafael, California, licensed in California (309768) and active in the NPI registry since September 2023. He maintains 3 additional practice locations and is a graduate of Other (2023).
NPPES Registry Identity
Specialties & Licenses
- 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.
Secondary Practice Locations 3
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
David Sequino Bambilla Dpt is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignments
4Medicare enrollment records show David Bambilla reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
San Rafael, CA 94901
- Reassigned Medicare billing, California enrollment
- 176 clinicians in this Medicare group
Centreville, VA 20121
- Reassigned Medicare billing, District of Columbia and Virginia enrollments
- 206 clinicians in this Medicare group
Rising Sun, MD 21911
- Reassigned Medicare billing, District of Columbia enrollment
- 276 clinicians in this Medicare group
West Springfield, MA 01089
- Reassigned Medicare billing, Massachusetts enrollment
- 345 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Areas of Expertise CMS Part B claims 7
Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.
Other Providers at the Same Location NPPES 7
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
SAN RAFAEL, CA 94901
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 David Bambilla's NPI number?
The NPI number for David Bambilla is 1871372789. It was assigned to this individual provider in the NPPES registry on September 28, 2023.
Where is David Bambilla located?
David Bambilla practices at 1099 D St Ste 105, San Rafael, CA 94901. The listed phone number is (415) 532-8335.
What is David Bambilla's specialty?
The primary specialty registered for this NPI is Physical Therapist with taxonomy code 225100000X.
Is David Bambilla enrolled in Medicare?
Yes. David Bambilla is registered in the Medicare PECOS enrollment system.
Which organizations bill Medicare for David Bambilla's services?
According to the CMS Revalidation Reassignment List (October 2026 release), David Bambilla reassigns Medicare benefits to 4 organizations: Select Cal Physical Therapy PC (San Rafael, CA), Jackson Clinics Limited Partnership (Centreville, VA), Ati Holdings, LLC (Rising Sun, MD) and Performance Rehabilitation Of Western New England LLC (West Springfield, MA). 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 David Bambilla'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 David Bambilla was last updated on April 6, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 months 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.