Active NPI
Joseph Ku
- Orthopedic Physical Therapist
- Glendale, CA
National Provider Identifier
1104245075
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthopedic Physical Therapist
- License
- 41070
- Practice address
- 500 W Glenoaks Blvd
Glendale, CA 91202-2813 - Phone
- (818) 637-2127
- NPI assigned
- Apr 8, 2014
- 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 |
|---|---|---|---|---|
| Orthopedic Physical Therapist | 2251X0800X | 41070 | CA | Primary |
Addresses
Primary practice location
500 W Glenoaks Blvd
Glendale, CA 91202-2813
Mailing address
500 W Glenoaks Blvd
Glendale, CA 91202-2813
Phone (818) 637-2127
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| SOAP URL | https://careepicwest.kp.org:14430/Interconnect-prodcalgateway/wcf/epic.community.hie/xcpdrespondinggatewaysync.svc/ncalceq | Health Information Exchange (HIE) | The Permanente Medical Group |
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 |
|---|---|---|---|
| 41070 | CA | MD | Licensed Psychiatric Technician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Healthcare Partners Affiliates Medical Group | Current | Accepting new patients | |
| Healthcare Partners Affiliates Medical Group | Current | Accepting new patients | |
| Memorial Medical Group Inc | Past | Accepting new patients |
Locations
824 E Carson St
Ste 104
Carson, CA 90745
Phone (310) 830-9706
8311 Florence Ave
Downey, CA 90240
Phone (310) 923-4911
601 Torrance Blvd
#1182
Redondo Beach, CA 90277
Organizations & group practices 3
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.
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- NPI 1659312593
-
- Durable Medical Equipment & Medical Supplies
- Murrieta, CA
- NPI 1760057269
-
- Durable Medical Equipment & Medical Supplies
- Phoenix, AZ
- NPI 1255523643
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1396915200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1640736000000",
"number": "1104245075",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "500 W GLENOAKS BLVD",
"city": "GLENDALE",
"state": "CA",
"postal_code": "912022813",
"telephone_number": "818-637-2127"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "500 W GLENOAKS BLVD",
"city": "GLENDALE",
"state": "CA",
"postal_code": "912022813",
"telephone_number": "818-637-2127"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KU",
"first_name": "JOSEPH",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2014-04-08",
"last_updated": "2021-12-29",
"status": "A"
},
"taxonomies": [
{
"code": "2251X0800X",
"taxonomy_group": "",
"desc": "Physical Therapist, Orthopedic",
"state": "CA",
"license": "41070",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "SOAP",
"endpointTypeDescription": "SOAP URL",
"endpoint": "https://careepicwest.kp.org:14430/Interconnect-prodcalgateway/wcf/epic.community.hie/xcpdrespondinggatewaysync.svc/ncalceq",
"affiliation": "Y",
"endpointDescription": "Carequality",
"affiliationName": "The Permanente Medical Group",
"use": "HIE",
"useDescription": "Health Information Exchange (HIE)",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "C-CDA",
"address_1": "1635 Divisadero St",
"city": "San Francisco",
"state": "CA",
"country_code": "US",
"postal_code": "941153036",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Glendale, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 29, 2021; 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.