Active NPI
Elin Quan
- Physical Therapist
- Los Angeles, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 43449
- Practice address
- 1313 W 8TH St
Los Angeles, CA 90017-4420 - Phone
- (213) 401-1970
- NPI assigned
- Dec 17, 2015
- Sex
- Female
- Sole proprietor
- Yes
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 | 43449 | CA | Primary |
Addresses
Primary practice location
1313 W 8TH St
Los Angeles, CA 90017-4420
Mailing address
4192 Lilac Ridge Rd
San Ramon, CA 94582-5020
Other practice location 1
68 Willow Rd
Menlo Park, CA 94025-3653
Phone (866) 839-6979
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, 2015
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
1045 W Redondo Beach Blvd
Suite 130
Gardena, CA 90247-4129
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| California Luna Care Physical Therapy PC | Physical Therapist | Current | Accepting new patients |
| Gardena Physical Therapy Inc | Physical Therapist | Current | Accepting new patients |
Locations
1045 W Redondo Beach Blvd
Ste 130
Gardena, CA 90247
Phone (310) 329-1444
16185 Los Gatos Blvd
Ste 205
Los Gatos, CA 95032
Phone (408) 459-8108
68 Willow Rd
Menlo Park, CA 94025
Phone (650) 691-8630
Organizations & group practices 2
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
- Los Gatos, CA
- NPI 1689162166
-
- Physical Therapist
- Gardena, CA
- NPI 1447727235
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1450310400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1568073600000",
"number": "1124483193",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4192 LILAC RIDGE RD",
"city": "SAN RAMON",
"state": "CA",
"postal_code": "945825020"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1313 W 8TH ST",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900174420",
"telephone_number": "213-401-1970"
}
],
"practiceLocations": [
{
"address_1": "68 Willow Rd",
"address_purpose": "LOCATION",
"city": "Menlo Park",
"state": "CA",
"postal_code": "940253653",
"country_code": "US",
"telephone_number": "866-839-6979",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "QUAN",
"first_name": "ELIN",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2015-12-17",
"last_updated": "2019-09-10",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "CA",
"license": "43449",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Los Angeles, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 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.