Active NPI
Chris Wai Yin Kwan, D.P.T.
- Physical Therapist
- Alhambra, CA
National Provider Identifier
1104875830
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 24535
- Practice address
- 1300 E Main St Ste 210
Alhambra, CA 91801-4150 - Phone
- (626) 451-9903
- Fax
- (626) 451-9937
- NPI assigned
- May 9, 2006
- 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 | 24535 | CA | Primary |
Addresses
Primary practice location
1300 E Main St Ste 210
Alhambra, CA 91801-4150
Mailing address
251 Ohio St
Pasadena, CA 91106-5411
Phone (626) 403-0856
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, 1999
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1300 E Main St
Suite 210
Alhambra, CA 91801-4150
Phone (626) 451-9903
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 24535 | CA | MD | Occupational Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| San Gabriel Valley Physical Therapy, Inc. | Physical Therapist | Current | Accepting new patients |
Locations
1300 E Main St
Ste 210
Alhambra, CA 91801
Phone (626) 451-9903
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.
-
- Physical Therapist
- Alhambra, CA
- NPI 1518916246
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1147132800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1551830400000",
"number": "1104875830",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "251 OHIO ST",
"city": "PASADENA",
"state": "CA",
"postal_code": "911065411",
"telephone_number": "626-403-0856"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1300 E MAIN ST STE 210",
"city": "ALHAMBRA",
"state": "CA",
"postal_code": "918014150",
"telephone_number": "626-451-9903",
"fax_number": "626-451-9937"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KWAN",
"first_name": "CHRIS",
"middle_name": "WAI YIN",
"name_prefix": "Dr.",
"credential": "D.P.T.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-05-09",
"last_updated": "2019-03-06",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "CA",
"license": "24535",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Alhambra, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 6, 2019; 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.