Active NPI
Isaac An
- Physical Therapist
- Garden Grove, CA
National Provider Identifier
1215749627
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT307082
- Practice address
- 13075 Blackbird St
Garden Grove, CA 92843-2902 - Phone
- (714) 530-6322
- NPI assigned
- Jan 22, 2025
- Last updated
- Jan 22, 2025
- 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 | PT307082 | CA | Primary |
Addresses
Primary practice location
13075 Blackbird St
Garden Grove, CA 92843-2902
Mailing address
6218 E West View Dr
Orange, CA 92869-4313
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 |
|---|---|---|---|
| PT307082 | CA | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1737504000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1737504000000",
"number": "1215749627",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6218 E WEST VIEW DR",
"city": "ORANGE",
"state": "CA",
"postal_code": "928694313"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "13075 BLACKBIRD ST",
"city": "GARDEN GROVE",
"state": "CA",
"postal_code": "928432902",
"telephone_number": "714-530-6322"
}
],
"practiceLocations": [],
"basic": {
"last_name": "AN",
"first_name": "ISAAC",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2025-01-22",
"last_updated": "2025-01-22",
"certification_date": "2025-01-22",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "CA",
"license": "PT307082",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Garden Grove, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 22, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.