Individual provider Active NPI

Ming-Hsiang Glupngam, PT

  • Physical Therapist
  • Thousand Oaks, CA
National Provider Identifier
1124520879
Registry record updated Sep 9, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Practice address
3680 N Moorpark Rd
Thousand Oaks, CA 91360-2603
Phone
(805) 496-9301
NPI assigned
Mar 7, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 9, 2022

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 Primary

Addresses

Primary practice location

3680 N Moorpark Rd
Thousand Oaks, CA 91360-2603

Mailing address

5706 Damon St
Simi Valley, CA 93063-4229

Other practice location 1

3557 Campus Dr
Thousand Oaks, CA 91360-2744
Phone (805) 241-2014

Other names 1

  • Ming-Hsiang Kelli Hsia Former name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200325002249 CA Practitioner - Physical Therapist in Private Practice 4981030350 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Southern California Sports Rehabilitation Inc.Group PAC ID 0941258156, 7 clinicians

Practice addresses (Care Compare)

1809 E Dyer Rd
Suite 313
Santa Ana, CA 92705-5740
Phone (949) 975-1900

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
New Life Physical Therapy Services, PC Physical Therapist CurrentSince Aug 10, 2022 Accepting new patients
Southern California Sports Rehabilitation, Inc. CurrentSince Jan 3, 2020 Accepting new patients

Locations

1809 E Dyer Rd
Ste 311
Santa Ana, CA 92705
Phone (949) 863-0022

1809 E Dyer Rd
Ste 313
Santa Ana, CA 92705
Phone (949) 975-1900

11627 Telegraph Rd
Ste 105
Santa Fe Springs, CA 90670
Phone (562) 948-4004

Organizations & group practices 3

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": "1520380800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1662681600000",
    "number": "1124520879",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5706 DAMON ST",
            "city": "SIMI VALLEY",
            "state": "CA",
            "postal_code": "930634229"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3680 N MOORPARK RD",
            "city": "THOUSAND OAKS",
            "state": "CA",
            "postal_code": "913602603",
            "telephone_number": "805-496-9301"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3557 Campus Dr",
            "address_purpose": "LOCATION",
            "city": "Thousand Oaks",
            "state": "CA",
            "postal_code": "913602744",
            "country_code": "US",
            "telephone_number": "805-241-2014",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GLUPNGAM",
        "first_name": "MING-HSIANG",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-03-07",
        "last_updated": "2022-09-09",
        "certification_date": "2022-09-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MING-HSIANG",
            "last_name": "HSIA",
            "middle_name": "KELLI",
            "credential": "PT",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Thousand Oaks, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 2022; 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.