Active NPI
Matthew Hoang, PT, DPT
- Physical Therapist
- Irvine, CA
National Provider Identifier
1013770866
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 305564
- Practice address
- 17332 Von Karman Ave Ste 120
Irvine, CA 92614-6282 - Phone
- (949) 861-8600
- NPI assigned
- Feb 5, 2024
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 305564 | CA | Primary |
Addresses
Primary practice location
17332 Von Karman Ave Ste 120
Irvine, CA 92614-6282
Mailing address
17332 Von Karman Ave Ste 120
Irvine, CA 92614-6282
Phone (949) 861-8600
Other practice location 1
10540 Talbert Ave Ste 110
Fountain Valley, CA 92708-6027
Phone (949) 861-8600
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 305564 | CA | MD | Registered Nurse |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Orthopedic Physical Therapist
- Irvine, CA
- NPI 1184670804
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1707091200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1707091200000",
"number": "1013770866",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "17332 VON KARMAN AVE STE 120",
"city": "IRVINE",
"state": "CA",
"postal_code": "926146282",
"telephone_number": "949-861-8600"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "17332 VON KARMAN AVE STE 120",
"city": "IRVINE",
"state": "CA",
"postal_code": "926146282",
"telephone_number": "949-861-8600"
}
],
"practiceLocations": [
{
"address_1": "10540 Talbert Ave Ste 110",
"address_purpose": "LOCATION",
"city": "Fountain Valley",
"state": "CA",
"postal_code": "927086027",
"country_code": "US",
"telephone_number": "949-861-8600",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "HOANG",
"first_name": "MATTHEW",
"credential": "PT, DPT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2024-02-05",
"last_updated": "2024-02-05",
"certification_date": "2024-02-04",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "CA",
"license": "305564",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Irvine, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 5, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.