Active NPI
Chivan Ngo
- Physical Therapist
- Alhambra, CA
National Provider Identifier
1215310537
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT42022
- Practice address
- 1516 S Marengo Ave
Alhambra, CA 91803-3055 - Phone
- (626) 576-1032
- NPI assigned
- Jul 6, 2015
- 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 | PT42022 | CA | Primary |
Addresses
Primary practice location
1516 S Marengo Ave
Alhambra, CA 91803-3055
Mailing address
3616 Rio Hondo Ave
Rosemead, CA 91770-2041
Phone (626) 264-2314
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PT42022 | CA | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1436140800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1436140800000",
"number": "1215310537",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3616 RIO HONDO AVE",
"city": "ROSEMEAD",
"state": "CA",
"postal_code": "917702041",
"telephone_number": "626-264-2314"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1516 S MARENGO AVE",
"city": "ALHAMBRA",
"state": "CA",
"postal_code": "918033055",
"telephone_number": "626-576-1032"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NGO",
"first_name": "CHIVAN",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2015-07-06",
"last_updated": "2015-07-06",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "CA",
"license": "PT42022",
"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 Jul 6, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.