Physician Compare National (NPI:1184640880)

HEALTHCARE PROVIDER: DAVE FACIANA DPT, SCS, CSCS

Physician Compare National contains general information about individual eligible professionals (EPs) such as demographic information and Medicare quality program participation.

Individual Professional Information
NPI	1184640880
	Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID	7315837069
	Unique individual clinician ID assigned by PECOS
Professional Enrollment ID	I20111215000934
	Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name	FACIANA
	Individual professional last name
Provider First Name	DAVID
	Individual professional first name
Provider Middle Name	M
	Individual professional middle name
Provider Gender	M
	The provider's gender if the provider is a person.

Medical School Information
Medical School Name	OTHER
	Individual professional's medical school
Graduation Year	1993
	Individual professional's medical school graduation year
Primary Specialty	PHYSICAL THERAPY
	Primary medical specialty reported by the individual professional in the selected enrollment

Practice Information
Line 1 Street Address	865 PATRIOT DR
	Group Practice or individual's line 1 address
Line 2 Street Address	SUITE 202
	Group Practice or individual's line 2 address
City	MOORPARK
	Group Practice or individual's city
State	CA
	Group Practice or individual's state
Zip Code	930213405
	Group Practice or individual's zip code (9 digits when available)

Hospital(s) Affiliation Information
Professional Accepts Medicare Assignment	Y