Woody Somvichai, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

299434 Issued in CA

Practice address

1020 Tierra del Rey Ste A1
Chula Vista, CA 91910-7886

Phone

(619) 585-7104

Fax

(619) 585-7106

NPI assigned

Oct 19, 2020

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• California Luna Care Physical Therapy PC

  • Physical Therapist
  • Los Gatos, CA
  • NPI 1689162166
  Medicare reassignment NPD
• Complete Care Physical Therapy

  • Physical Therapist
  • Ooltewah, TN
  • NPI 1669554325
  NPD
• Ventura Orthopedics Medical Group, Inc.

  • Specialist
  • Westlake Village, CA
  • NPI 1417580325
  NPD (past)

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

{
    "created_epoch": "1603065600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1623110400000",
    "number": "1104425446",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1020 TIERRA DEL REY STE A1",
            "city": "CHULA VISTA",
            "state": "CA",
            "postal_code": "919107886"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1020 TIERRA DEL REY STE A1",
            "city": "CHULA VISTA",
            "state": "CA",
            "postal_code": "919107886",
            "telephone_number": "619-585-7104",
            "fax_number": "619-585-7106"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5520 W 190th St Apt 212",
            "address_purpose": "LOCATION",
            "city": "Torrance",
            "state": "CA",
            "postal_code": "905031054",
            "country_code": "US",
            "telephone_number": "310-231-6494",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1145 Lindero Canyon Rd Ste D7",
            "address_purpose": "LOCATION",
            "city": "Westlake Village",
            "state": "CA",
            "postal_code": "913625475",
            "country_code": "US",
            "telephone_number": "818-865-9800",
            "fax_number": "818-330-5332",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SOMVICHAI",
        "first_name": "WOODY",
        "credential": "DPT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2020-10-19",
        "last_updated": "2021-06-08",
        "certification_date": "2021-05-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "299434",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "299434",
            "state": "CA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "https://venturaortho.com/",
            "affiliation": "N",
            "address_1": "1145 Lindero Canyon Rd Ste D7",
            "city": "Westlake Village",
            "state": "CA",
            "country_code": "US",
            "postal_code": "913625475",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Annette Solorio, R.N.
• Adriana Soltero
• Ricardo A. Soltero, M.D.
• Somagen Healthcare Inc
• Lisa Sommerauer, MA, OTR/L
• Sonal Singh Dental Corporation
• Michael Sonbaty, M.D.
• Jin Song, D.D.S.
• Joanna Sarao Songcuan, LMFT
• Sonia G Ponce Cardiology a Professional Corporation

• Physical Therapist in Chula Vista, CA
• Providers in Chula Vista, CA by specialty
• Physical Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 8, 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.

Verify at the official NPI Registry.