Individual provider Active NPI

Jack Zou

  • Physical Therapist
  • Los Angeles, CA
National Provider Identifier
1043671555
Registry record updated Mar 10, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT291055 Issued in CA
Practice address
454 N Vista St
Los Angeles, CA 90036-5741
Phone
(323) 236-4051
NPI assigned
Mar 10, 2016
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 10, 2016

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X PT291055 CA Primary

Addresses

Primary practice location

454 N Vista St
Los Angeles, CA 90036-5741

Mailing address

454 N Vista St
Los Angeles, CA 90036-5741

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160802000208 CA Practitioner - Physical Therapist in Private Practice 4082907860 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Sung H Chin Therapeutic Adhc Services, IncGroup PAC ID 7012168883, 2 clinicians

Practice addresses (Care Compare)

266 S Harvard Blvd
Suite 330
Los Angeles, CA 90004-4373
Phone (323) 939-0840

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PT291055CAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Friendly Health, Inc. CurrentSince Nov 26, 2023 Accepting new patients
Sung H. Chin Therapeutic Adhc Services, Inc. Physical Therapist CurrentSince Apr 5, 2019 Accepting new patients

Locations

266 S Harvard Blvd
Ste 330
Los Angeles, CA 90004
Phone (323) 939-0840

Organizations & group practices 2

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1457568000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1457568000000",
    "number": "1043671555",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "454 N VISTA ST",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900365741"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "454 N VISTA ST",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900365741",
            "telephone_number": "323-236-4051"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZOU",
        "first_name": "JACK",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-03-10",
        "last_updated": "2016-03-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "PT291055",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Los Angeles, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 10, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.