CRISTIAN DAVID HACEGABA – Physical Therapist, NPI 1356159339

CRISTIAN DAVID HACEGABA is a healthcare provider. based in Azusa, California. specializing in PHYSICAL THERAPIST IN PRIVATE PRACTICE. They hold a License No. 307396 (CA). The NPI Number for CRISTIAN DAVID HACEGABA is 1356159339

Main info

Male
Sole Proprietor
2 Years Of Experience
Accepts Medicare Assignment
Name
CRISTIAN DAVID HACEGABA
NPI
1356159339
Phone
(626) 533-2410
Address
1086 W CALLE DE LAS ESTRELLAS APT 2
Enumeration Date
23 December 2024
Last Update Date
23 December 2024

Doctor Profile

Medical School Name
OTHER
Secondary Phone
6263560599
Graduation Year
2024 (2 years ago)
PAC ID
9931639812
Group Practice PAC ID
1658308572
Professional Enrollment ID
I20250206003119
Address ID
CA911053223PA801XXAVEX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience26
Completeness75
Years active:1State licenses:1Digital endpointsOther names

9,449 PHYSICAL THERAPIST IN PRIVATE PRACTICE in CA

Provider Addresses for CRISTIAN DAVID HACEGABA

  • 1086 W CALLE DE LAS ESTRELLAS APT 2

    AZUSA, CA 917021722

    Phone: (626) 533-2410

    Type: Mailing

  • 801 S RAYMOND AVE

    PASADENA, CA 911053223

    Phone: (626) 356-0599

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2025-02-06

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20250206003119IPhysical Therapist In Private PracticeCATBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 91702)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 1658308572View full group profile
NameSpecialtyState
Physical Therapist In Private PracticeCA
Physical Therapist In Private PracticeCA
Physical Therapist In Private PracticeCA
Physical Therapist In Private PracticeCA
Physical Therapist In Private PracticeCA

Reviews

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Frequently asked questions

What federal number belongs to CRISTIAN DAVID HACEGABA?
The federal identifier for CRISTIAN DAVID HACEGABA is NPI 1356159339.
Is CRISTIAN DAVID HACEGABA active in the national directory?
CRISTIAN DAVID HACEGABA's public NPI profile is in an active state.
Does CRISTIAN DAVID HACEGABA list a primary specialty?
If you are matching referrals, note Physical Therapist for CRISTIAN DAVID HACEGABA. Clinical services aligned with this taxonomy classification.
Where is CRISTIAN DAVID HACEGABA's primary listing?
We display Azusa, California because that is what the record indicates for CRISTIAN DAVID HACEGABA.
How can I contact CRISTIAN DAVID HACEGABA?
Phone or fax may appear on the official NPI record when supplied — verify before relying on them.

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