Individual provider Active NPI

Jermaine Jien Mi Ang, DPT

  • Physical Therapist
  • Pomona, CA
National Provider Identifier
1245743905
Registry record updated Apr 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT293901 Issued in CA
Practice address
2413 Lovejoy St
Pomona, CA 91767-2517
Phone
(626) 329-2398
NPI assigned
Nov 15, 2017
Last updated
Apr 21, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 21, 2022

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 PT293901 CA Primary

Addresses

Primary practice location

2413 Lovejoy St
Pomona, CA 91767-2517

Mailing address

2413 Lovejoy St
Pomona, CA 91767-2517
Phone (626) 329-2398

Other practice location 1

1722 Farmstead Ave
Hacienda Heights, CA 91745-3405
Phone (626) 329-2398

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
PT293901CAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Evolve Pelvic Physical Therapy and Wellness Inc Physical Therapist CurrentSince Sep 29, 2024 Accepting new patients
Strive Physical Therapy and Wellness Center PC Physical Therapist CurrentSince Oct 1, 2022 Accepting new patients

Locations

5350 Olive St
Montclair, CA 91763
Phone (909) 295-5900

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1510704000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1650499200000",
    "number": "1245743905",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2413 LOVEJOY ST",
            "city": "POMONA",
            "state": "CA",
            "postal_code": "917672517",
            "telephone_number": "626-329-2398"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2413 LOVEJOY ST",
            "city": "POMONA",
            "state": "CA",
            "postal_code": "917672517",
            "telephone_number": "626-329-2398"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1722 Farmstead Ave",
            "address_purpose": "LOCATION",
            "city": "Hacienda Heights",
            "state": "CA",
            "postal_code": "917453405",
            "country_code": "US",
            "telephone_number": "626-329-2398",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ANG",
        "first_name": "JERMAINE",
        "middle_name": "JIEN MI",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-11-15",
        "last_updated": "2022-04-21",
        "certification_date": "2022-04-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "PT293901",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pomona, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 21, 2022; 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.