OrganizationActive
Associated Sports Therapy Medical Center
NPI 1174556971 · Specialist · Monterey Park, CA
Provider details
- NPI number
- 1174556971
- Entity type
- Organization
- Primary specialty
- SpecialistOther Service Providers
- Organization subpart
- No
- Authorized official
- Alicia Ontiveros, Administrator(626) 289-0178
- License
- 17107 (CA)
Specialties & taxonomies
Other Service Providers
Profile Score
Detailed profile(91/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 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
880 S Atlantic Blvd
Suite 205
Monterey Park, CA 91754-4700
Phone: (626) 828-3577
Fax: (626) 308-2083
Street-level locationGet directions
Mailing address
880 S Atlantic Blvd
Monterey Park, CA 91754-4700
Registry dates
- Enumerated
- 2006-07-08
- Last updated
- 2020-08-11
- Certified
- 2020-08-11
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.