Active NPI
Lynn Toshiko Kanda, P.T., O.C.S.
- Physical Therapist
- Fountain Valley, CA
National Provider Identifier
1104864701
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT11148
- Practice address
- 10900 Warner Ave
Suite 111
Fountain Valley, CA 92708-3846 - Phone
- (714) 964-3337
- Fax
- (714) 964-8806
- NPI assigned
- Jun 4, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 5
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | PT11148 | CA | Primary |
| Hand Physical Therapist | 2251H1200X | PT11148 | CA | |
| Pediatric Physical Therapist | 2251P0200X | PT11148 | CA | |
| Sports Physical Therapist | 2251S0007X | PT11148 | CA | |
| Orthopedic Physical Therapist | 2251X0800X | PT11148 | CA |
Addresses
Primary practice location
10900 Warner Ave
Suite 111
Fountain Valley, CA 92708-3846
Mailing address
10900 Warner Ave
Suite 111
Fountain Valley, CA 92708-3846
Phone (714) 964-3337
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| PT11148 | Other | CA | STATE LICENSE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PT11148 | CA | MD | Hand Physical Therapist |
| 11148 | CA | MD | Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1149379200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1365379200000",
"number": "1104864701",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10900 WARNER AVE",
"address_2": "SUITE 111",
"city": "FOUNTAIN VALLEY",
"state": "CA",
"postal_code": "927083846",
"telephone_number": "714-964-3337",
"fax_number": "714-964-8806"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10900 WARNER AVE",
"address_2": "SUITE 111",
"city": "FOUNTAIN VALLEY",
"state": "CA",
"postal_code": "927083846",
"telephone_number": "714-964-3337",
"fax_number": "714-964-8806"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KANDA",
"first_name": "LYNN",
"middle_name": "TOSHIKO",
"name_prefix": "Ms.",
"credential": "P.T., O.C.S.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-06-04",
"last_updated": "2013-04-08",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "CA",
"license": "PT11148",
"primary": true
},
{
"code": "2251H1200X",
"taxonomy_group": "",
"desc": "Physical Therapist, Hand",
"state": "CA",
"license": "PT11148",
"primary": false
},
{
"code": "2251P0200X",
"taxonomy_group": "",
"desc": "Physical Therapist, Pediatrics",
"state": "CA",
"license": "PT11148",
"primary": false
},
{
"code": "2251S0007X",
"taxonomy_group": "",
"desc": "Physical Therapist, Sports",
"state": "CA",
"license": "PT11148",
"primary": false
},
{
"code": "2251X0800X",
"taxonomy_group": "",
"desc": "Physical Therapist, Orthopedic",
"state": "CA",
"license": "PT11148",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STATE LICENSE",
"identifier": "PT11148",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Fountain Valley, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 8, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.