Active NPI
Jasper Chong
- Physical Therapist
- Los Angeles, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- Practice address
- 321 N Larchmont Blvd Ste 825
Los Angeles, CA 90004-6400 - Phone
- (323) 464-4458
- NPI assigned
- Jul 26, 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 | Primary |
Addresses
Primary practice location
321 N Larchmont Blvd Ste 825
Los Angeles, CA 90004-6400
Mailing address
3725 Mohawk St
Pasadena, CA 91107-3926
Phone (909) 802-6356
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2024
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
321 N Larchmont Blvd
Suite 825
Los Angeles, CA 90004-6400
Phone (323) 464-4458
3418 Loma Vista Rd
Suite a
Ventura, CA 93003-3015
Phone (805) 765-1391
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Two Trees Physical Therapy & Wellness Inc | Physical Therapist | Current | Accepting new patients |
| Two Trees Physical Therapy & Wellness Inc | Physical Therapist | Current | Accepting new patients |
Locations
321 N Larchmont Blvd
Ste 825
Los Angeles, CA 90004
Phone (323) 464-4458
3418 Loma Vista Rd
Ste A
Ventura, CA 93003
Phone (805) 642-8565
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.
-
- Physical Therapist
- Ventura, CA
- NPI 1770830325
-
- Physical Therapist
- Ventura, CA
- NPI 1205453305
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1721952000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1721952000000",
"number": "1073342382",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3725 MOHAWK ST",
"city": "PASADENA",
"state": "CA",
"postal_code": "911073926",
"telephone_number": "909-802-6356"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "321 N LARCHMONT BLVD STE 825",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900046400",
"telephone_number": "323-464-4458"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CHONG",
"first_name": "JASPER",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2024-07-26",
"last_updated": "2024-07-26",
"certification_date": "2024-07-26",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": null,
"license": null,
"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 Jul 26, 2024; 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.