Ca Fidelis PC
NPI 1427325109 · Physical Medicine & Rehabilitation Physician · Los Angeles, CA
Ca Fidelis PC is a Physical Medicine & Rehabilitation Physician organization in Los Angeles, CA (NPI 1427325109).
Provider details
- NPI number
- 1427325109
- Entity type
- Organization
- Primary specialty
- Physical Medicine & Rehabilitation PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Glen Halvorson, Medical Director(877) 408-2488
- License
- G75477 (CA)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
14 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
- 2011-11-22
- Last updated
- 2012-03-27
Frequently asked questions
- What is Ca Fidelis PC's NPI number?
- Ca Fidelis PC's National Provider Identifier (NPI) is 1427325109, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Ca Fidelis PC?
- Ca Fidelis PC is classified in the NPPES registry as Physical Medicine & Rehabilitation Physician (Allopathic & Osteopathic Physicians).
- Where is Ca Fidelis PC located?
- Ca Fidelis PC's practice location on file with NPPES is 11726 San Vicente Blvd, Los Angeles, CA 90049-5044.
- What is Ca Fidelis PC's phone number?
- The practice phone number listed in the NPPES registry for Ca Fidelis PC is (877) 408-2488.
- Who is the authorized official for Ca Fidelis PC?
- The authorized official listed on Ca Fidelis PC's NPPES record is Glen Halvorson, Medical Director. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Ca Fidelis PC's NPI active?
- Yes — Ca Fidelis PC's NPI (1427325109) is active in the NPPES registry as of the last update on 2012-03-27.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.