Optimum Care Provider, Inc.
NPI 1114211885 · Physical Therapist · Victorville, CA
Optimum Care Provider, Inc. is a Physical Therapist organization in Victorville, CA (NPI 1114211885).
Provider details
- NPI number
- 1114211885
- Entity type
- Organization
- Primary specialty
- Physical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Organization subpart
- No
- Authorized official
- Eleazar Tayag, Ceo(909) 509-6064
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
- Occupational Therapist225X00000X
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
- Speech-Language Pathologist235Z00000X
Speech, Language and Hearing Service Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
15 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2011-05-31
- Last updated
- 2023-10-15
- Certified
- 2023-10-15
Frequently asked questions
- What is Optimum Care Provider, Inc.'s NPI number?
- Optimum Care Provider, Inc.'s National Provider Identifier (NPI) is 1114211885, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Optimum Care Provider, Inc.?
- Optimum Care Provider, Inc. is classified in the NPPES registry as Physical Therapist (Respiratory, Developmental, Rehabilitative and Restorative Service Providers).
- Where is Optimum Care Provider, Inc. located?
- Optimum Care Provider, Inc.'s practice location on file with NPPES is 12381 Bali St, Victorville, CA 92392-6825.
- What is Optimum Care Provider, Inc.'s phone number?
- The practice phone number listed in the NPPES registry for Optimum Care Provider, Inc. is (909) 509-6064.
- Who is the authorized official for Optimum Care Provider, Inc.?
- The authorized official listed on Optimum Care Provider, Inc.'s NPPES record is Eleazar Tayag, Ceo. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Optimum Care Provider, Inc.'s NPI active?
- Yes — Optimum Care Provider, Inc.'s NPI (1114211885) is active in the NPPES registry as of the last update on 2023-10-15.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.