Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Dr. Eleazar Somintac Tayag, PT

Individual provider Physical Therapist · NPI 1245355783

Dr. Eleazar Somintac Tayag, PT is a Physical Therapist in Private Practice in Victorville, California. Qualified in 1999, 27 years ago. Practices with Imperial Physical Therapy P C, a 2-clinician group and accepts Medicare assignment. Licensed in California.

Years since qualifying
27
Licensed in
CA
In the registry since
2007
What do these letters mean?
PT — Physical Therapist
A licensed therapist who treats movement, pain and injury.

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Practice location Address checks out

12381 Bali St
Victorville, CA 92392-6825
Phone: (909) 509-6064
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence 33402 (CA)

Record details

NPI number1245355783
Entity typeIndividual (Type 1)
GenderMale
Credentials PT
Sole proprietorNo
NPI enumeratedMarch 21, 2007
Last updated in NPPESOctober 15, 2023
Certification dateOctober 15, 2023

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 1999 (27 years in practice)
Group practice Imperial Physical Therapy P C — 2 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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