Individual provider Active NPI

Karlu Tan, P.T

  • Physical Therapist
  • Granada Hills, CA
National Provider Identifier
1245619360
Registry record updated May 21, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT42483 Issued in CA
Practice address
10515 Balboa Blvd
285
Granada Hills, CA 91344
Phone
(818) 363-3000
Fax
(888) 833-2881
NPI assigned
May 21, 2015
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 21, 2015

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 PT42483 CA Primary

Addresses

Primary practice location

10515 Balboa Blvd
285
Granada Hills, CA 91344

Mailing address

11024 Balboa Blvd.
504
Granada Hills, CA 91344

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160429001165 CA Practitioner - Physical Therapist in Private Practice 1850690694 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2008
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

11024 Balboa Blvd
Suite 504
Granada Hills, CA 91344-5007

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
42483CAMDDentist
PT42483CAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
All Care Physical Therapy, P.C. Physical Therapist CurrentSince Jan 26, 2023 Accepting new patients
Tepelekian Chiropractic, Inc CurrentSince Sep 1, 2016 Accepting new patients
Feld Care Therapy Inc Physical Therapist CurrentSince Nov 17, 2020 Accepting new patients
Feld Care Therapy Inc Physical Therapist Past Accepting new patients
The Hand & Upper Extremity Center Inc Physical Therapist PastSince Jan 26, 2023 Accepting new patients

Locations

10515 Balboa Blvd
Ste 285
Granada Hills, CA 91344
Phone (818) 363-3000

5806 Pacific Blvd
Huntington Park, CA 90255

5450 W Pico Blvd
Ste 202
Los Angeles, CA 90019
Phone (214) 893-2790

18531 Roscoe Blvd
Ste 215
Northridge, CA 91324
Phone (818) 700-0411

8929 Aero Dr
Ste E
San Diego, CA 92123
Phone (858) 277-2277

100 E Thousand Oaks Blvd
Ste 237
Thousand Oaks, CA 91360
Phone (818) 926-9057

6320 Canoga Ave
Fl 15
Woodland Hls, CA 91367
Phone (818) 588-4003

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Organizations & group practices 5

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": "1432166400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1432166400000",
    "number": "1245619360",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11024 BALBOA BLVD.",
            "address_2": "504",
            "city": "GRANADA HILLS",
            "state": "CA",
            "postal_code": "91344"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10515 BALBOA BLVD",
            "address_2": "285",
            "city": "GRANADA HILLS",
            "state": "CA",
            "postal_code": "91344",
            "telephone_number": "818-363-3000",
            "fax_number": "888-833-2881"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TAN",
        "first_name": "KARLU",
        "credential": "P.T",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-05-21",
        "last_updated": "2015-05-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "PT42483",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Granada Hills, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 21, 2015; 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.