Active NPI
John M Kwon, PT, DPT, OCS
- Orthopedic Physical Therapist
- Fountain Valley, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthopedic Physical Therapist
- License
- 25614
- Practice address
- 10900 Warner Ave Ste 111
Fountain Valley, CA 92708-3846 - Phone
- (714) 964-3337
- NPI assigned
- Dec 14, 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 |
|---|---|---|---|---|
| Orthopedic Physical Therapist | 2251X0800X | 25614 | CA | Primary |
Addresses
Primary practice location
10900 Warner Ave Ste 111
Fountain Valley, CA 92708-3846
Mailing address
11 Alisal CT
Aliso Viejo, CA 92656-1850
Phone (949) 215-1566
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
- Loma Linda University School of Medicine, 2000
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
15 Corporate Plaza Dr
Suite 130
Newport Beach, CA 92660-7940
Phone (949) 759-1840
27372 Aliso Creek Rd
Suite 200
Aliso Viejo, CA 92656-5339
Phone (949) 520-1012
Merit-based Incentive Payment System (MIPS)
- Final score
- 84.87 of 100
- Quality
- 72.95
- Promoting interoperability
- 90
- Improvement activities
- 40
- Cost
- 68.29
Merit-based Incentive Payment System (MIPS)
- Final score
- 33.34 of 100
- Quality
- 20
- Improvement activities
- 0
- Cost
- 84.47
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Smart Health & Wellness | Current | Accepting new patients | |
| Core Performance Physical Therapy, Inc. | Orthopedic | Current | Accepting new patients |
| Smart Health & Wellness | Current | Accepting new patients | |
| California Therapy Solutions | Orthopedic | Past | Accepting new patients |
Locations
27372 Aliso Creek Rd
#200
Aliso Viejo, CA 92656
Phone (949) 520-1012
27372 Aliso Creek Rd
Ste 110
Aliso Viejo, CA 92656
Phone (949) 520-1014
27372 Aliso Creek Rd
Ste 200
Aliso Viejo, CA 92656
Phone (949) 520-1012
33 Creek Rd
Ste 190
Irvine, CA 92604
Phone (949) 262-3031
15 Corporate Plaza Dr
Ste 130
Newport Beach, CA 92660
Phone (949) 759-1840
Organizations & group practices 4
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.
-
- Orthopedic Physical Therapist
- Newport Beach, CA
- NPI 1871878041
-
- Orthopaedic Surgery Physician
- Aliso Viejo, CA
- NPI 1679227326
-
- Physical Therapist
- Aliso Viejo, CA
- NPI 1275300261
-
- Physical Therapy Clinic/Center
- Fountain Valley, CA
- NPI 1548329519
Orthopedic
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1166054400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1318464000000",
"number": "1104988708",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11 ALISAL CT",
"city": "ALISO VIEJO",
"state": "CA",
"postal_code": "926561850",
"telephone_number": "949-215-1566"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10900 WARNER AVE STE 111",
"city": "FOUNTAIN VALLEY",
"state": "CA",
"postal_code": "927083846",
"telephone_number": "714-964-3337"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KWON",
"first_name": "JOHN",
"middle_name": "M",
"name_prefix": "Mr.",
"credential": "PT, DPT, OCS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-12-14",
"last_updated": "2011-10-13",
"status": "A"
},
"taxonomies": [
{
"code": "2251X0800X",
"taxonomy_group": "",
"desc": "Physical Therapist, Orthopedic",
"state": "CA",
"license": "25614",
"primary": true
}
],
"identifiers": [],
"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 Oct 13, 2011; 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.