ALVIN ANSELMO CRUZ BOMBASE (RPT, CEAS) – Physical Therapist, NPI 1780700252

ALVIN ANSELMO CRUZ BOMBASE (RPT, CEAS) is a healthcare provider. based in Gardena, California. specializing in Physical Therapist. They hold the professional credentials RPT, CEAS. They hold a License No. 28286 (CA). The NPI Number for ALVIN ANSELMO CRUZ BOMBASE (RPT, CEAS) is 1780700252

Main info

Male
29 Years Of Experience
Accepts Medicare Assignment
Name
ALVIN ANSELMO CRUZ BOMBASE (RPT, CEAS)
NPI
1780700252
Phone
(310) 768-8155
Address
16630 S BROADWAY ST
Enumeration Date
22 March 2007
Last Update Date
13 December 2021

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8009234040
Graduation Year
1997 (29 years ago)
PAC ID
8921270711
Group Practice PAC ID
6002729175
Professional Enrollment ID
I20111021000209

Contacts

SOAP Endpoint
https://careepicwest.kp.org:14430/Interconnect-prodcalgateway/wcf/epic.community.hie/xcpdrespondinggatewaysync.svc/scalceq
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience66
Completeness85
Years active:19State licenses:2Other namesUpdated within 12 months

Provider Addresses for ALVIN ANSELMO CRUZ BOMBASE (RPT, CEAS)

  • 16630 S BROADWAY ST

    GARDENA, CA 902482716

    Phone: (310) 768-8155

    Fax: (310) 768-8313

    Type: Mailing

  • 24920 WALNUT ST

    LOMITA, CA 907171925

    Phone: (310) 293-7416

    Type: Location

  • 16630 S BROADWAY

    GARDENA, CA 902482716

    Phone: (310) 768-8155

    Fax: (310) 768-8313

    Type: Mailing

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.

No Medicare enrollment or revalidation data available for this provider in our database.

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 90248)

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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: 6002729175View full group profile
NameSpecialtyState
U R O L O G YOH
Nurse PractitionerCA
Internal MedicineCA
Internal MedicineCA
Internal Medicine, GastroenterologyCA
Physician AssistantCA
Emergency MedicineNC
O P H T H A L M O L O G YCA
Anesthesiology, Pain ManagementNH
Family Practice, Sports MedicineCA

Reviews

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Frequently asked questions

Is ALVIN ANSELMO CRUZ BOMBASE (RPT, CEAS) listed with a National Provider Identifier?
Yes — ALVIN ANSELMO CRUZ BOMBASE (RPT, CEAS) has NPI 1780700252 on file in the registry.
Would ALVIN ANSELMO CRUZ BOMBASE (RPT, CEAS) appear as active to a payer?
You can treat ALVIN ANSELMO CRUZ BOMBASE (RPT, CEAS) as active for directory purposes; confirm clinical privileges separately.
How would a patient describe ALVIN ANSELMO CRUZ BOMBASE (RPT, CEAS)'s focus?
For ALVIN ANSELMO CRUZ BOMBASE (RPT, CEAS), the primary taxonomy reads as Physical Therapist. Clinical services aligned with this taxonomy classification.
Where in California is ALVIN ANSELMO CRUZ BOMBASE (RPT, CEAS) registered?
Use Gardena, California as the headline location for ALVIN ANSELMO CRUZ BOMBASE (RPT, CEAS) here.
Does ALVIN ANSELMO CRUZ BOMBASE (RPT, CEAS) accept insurance?
Insurance participation is not part of the core NPI extract — call the plan or office to confirm.

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