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

Nolan Bagalso

Individual provider Physical Therapist · NPI 1407216062

Nolan Bagalso is a Physical Therapist in Private Practice in LA Crescenta, California. Qualified in 2013, 13 years ago. Practices with California Luna Care Physical Therapy PC, a 773-clinician group and accepts Medicare assignment. Licensed in California.

Years since qualifying
13
Licensed in
CA
In the registry since
2016

Practice location Address checks out

3050 Montrose Ave
LA Crescenta, CA 91214-3619
Phone: (818) 957-0850
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence 40854 (CA)

Record details

NPI number1407216062
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedFebruary 25, 2016
Last updated in NPPESFebruary 25, 2016
Mailing address1921 N Buena Vista St Unit 105, Burbank, CA 91504-3377

Medicare enrollment

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

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2013 (13 years in practice)
Group practice California Luna Care Physical Therapy Pc — 773 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in LA Crescenta