Individual provider Active NPI

Wan-Chen Hung, PT, DPT

  • Physical Therapist
  • Rialto, CA
National Provider Identifier
1104706506
Registry record updated Sep 5, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT308888 Issued in CA
Practice address
1850 N Riverside Ave Ste 240
Rialto, CA 92376-8082
Phone
(909) 258-2220
Fax
(909) 258-2102
NPI assigned
Sep 5, 2025
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 5, 2025

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 PT308888 CA Primary

Addresses

Primary practice location

1850 N Riverside Ave Ste 240
Rialto, CA 92376-8082

Mailing address

6587 Mallo de Riglos Way
Fontana, CA 92336-3472
Phone (347) 543-6653

Other practice location 1

2280 Market St Ste 230
Riverside, CA 92501-2120
Phone (951) 289-9454

Other practice location 2

17051 Sierra Lakes Pkwy Ste 204
Fontana, CA 92336-1274
Phone (909) 686-6826

Other names 1

  • Camille Hung Other name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20251027000419 CA Practitioner - Physical Therapist in Private Practice 1254820772 Reassigns benefits to 1 organization

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
Transit Physical Therapy PCGroup PAC ID 3274899315, 26 clinicians

Practice addresses (Care Compare)

1850 N Riverside Ave
Suite 240
Rialto, CA 92376-8082
Phone (909) 258-2220

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PT308888CAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Transit Physical Therapy PC Physical Therapist CurrentSince Sep 2, 2025 Accepting new patients

Locations

851 E Sixth St
Ste A4
Beaumont, CA 92223
Phone (909) 756-7001

17051 Sierra Lakes Pkwy
Ste 204
Fontana, CA 92336
Phone (909) 686-6826

1850 N Riverside Ave
Ste 240
Rialto, CA 92376
Phone (909) 258-2220

2280 Market St
Ste 230
Riverside, CA 92501
Phone (951) 289-9454

275 W Hospitality Ln
Ste 102
San Bernardino, CA 92408
Phone (909) 567-2221

275 W Hospitality Ln
Ste 103
Sn Bernrdno, CA 92408
Phone (909) 567-2221

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.

NPI Registry JSON

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

{
    "created_epoch": "1757030400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757030400000",
    "number": "1104706506",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6587 MALLO DE RIGLOS WAY",
            "city": "FONTANA",
            "state": "CA",
            "postal_code": "923363472",
            "telephone_number": "347-543-6653"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1850 N RIVERSIDE AVE STE 240",
            "city": "RIALTO",
            "state": "CA",
            "postal_code": "923768082",
            "telephone_number": "909-258-2220",
            "fax_number": "909-258-2102"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2280 Market St Ste 230",
            "address_purpose": "LOCATION",
            "city": "Riverside",
            "state": "CA",
            "postal_code": "925012120",
            "country_code": "US",
            "telephone_number": "951-289-9454",
            "fax_number": "951-289-9456",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "17051 Sierra Lakes Pkwy Ste 204",
            "address_purpose": "LOCATION",
            "city": "Fontana",
            "state": "CA",
            "postal_code": "923361274",
            "country_code": "US",
            "telephone_number": "909-686-6826",
            "fax_number": "909-587-2020",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HUNG",
        "first_name": "WAN-CHEN",
        "credential": "PT, DPT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-09-05",
        "last_updated": "2025-09-05",
        "certification_date": "2025-09-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "PT308888",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CAMILLE",
            "last_name": "HUNG",
            "credential": "PT, DPT",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Rialto, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 5, 2025; 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.