Visuwath Golf Sabprasong, PTA

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

52725 Issued in CA

Practice address

24050 Aliso Creek Rd Ste 1C
Laguna Niguel, CA 92677-3937

Phone

(949) 317-4454

NPI assigned

Sep 6, 2023

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1693958400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1693958400000",
    "number": "1225814254",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2111 W 17TH ST APT J37",
            "city": "SANTA ANA",
            "state": "CA",
            "postal_code": "927062305",
            "telephone_number": "714-702-4105"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "24050 ALISO CREEK RD STE 1C",
            "city": "LAGUNA NIGUEL",
            "state": "CA",
            "postal_code": "926773937",
            "telephone_number": "949-317-4454"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SABPRASONG",
        "first_name": "VISUWATH",
        "middle_name": "GOLF",
        "credential": "PTA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-09-06",
        "last_updated": "2023-09-06",
        "certification_date": "2023-09-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "CA",
            "license": "52725",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Roupen Yaghsezian MD Inc
• Royal Senior Living-Oc LLC (Royal Senior Living)
• Sarah Beverly Ryan, LCSW
• S Amir Farzan Tavakkoli Isfahani (Laguna Niguel HealthMart Pharmacy)
• Anthony Mark Saad, DMD
• Sakomed LLC
• Salatini Eye Care, LLC
• Farzaneh Salatini, O.D.
• Ryan Kristopher Salem
• Edward David Salgado Tenorio

• Physical Therapy Assistant in Laguna Niguel, CA
• Providers in Laguna Niguel, CA by specialty
• Physical Therapy Assistant in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 6, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.