Active NPI
Karlu Tan, P.T
- Physical Therapist
- Granada Hills, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT42483
- 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
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 | 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
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
| License | State | Type | Specialty |
|---|---|---|---|
| 42483 | CA | MD | Dentist |
| PT42483 | CA | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| All Care Physical Therapy, P.C. | Physical Therapist | Current | Accepting new patients |
| Tepelekian Chiropractic, Inc | Current | Accepting new patients | |
| Feld Care Therapy Inc | Physical Therapist | Current | Accepting new patients |
| Feld Care Therapy Inc | Physical Therapist | Past | Accepting new patients |
| The Hand & Upper Extremity Center Inc | Physical Therapist | Past | 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.
-
- Physical Therapist
- Woodland Hills, CA
- NPI 1104120385
-
- Physical Therapist
- Thousand Oaks, CA
- NPI 1770069338
-
- Chiropractor
- Northridge, CA
- NPI 1720399827
-
- Hand Occupational Therapist
- Simi Valley, CA
- NPI 1730360561
Physical Therapist
-
- Physical Therapist
- Tampa, FL
- NPI 1134075864
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.