Individual provider Active NPI

Khiem Banh, PT

  • Physical Therapist
  • Monterey Park, CA
National Provider Identifier
1245825835
Registry record updated Mar 4, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
299533 Issued in CA
Practice address
201 N Sierra Vista St
Monterey Park, CA 91755-1920
Phone
(321) 662-3069
NPI assigned
Mar 4, 2021
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 4, 2021

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 299533 CA Primary

Addresses

Primary practice location

201 N Sierra Vista St
Monterey Park, CA 91755-1920

Mailing address

201 N Sierra Vista St
Monterey Park, CA 91755-1920

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210427003150 CA Practitioner - Physical Therapist in Private Practice 4284042417 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Cedars-Sinai Medical Care FoundationGroup PAC ID 0941106645, 1,684 clinicians

Practice addresses (Care Compare)

800 S Raymond Ave
Pasadena, CA 91105-3229
Phone (626) 795-8051

Merit-based Incentive Payment System (MIPS)

Final score
89.14 of 100Reported as group
Quality
84.79
Promoting interoperability
99
Improvement activities
40
Cost
73.15

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Precision Occupational Medical Group, Inc. CurrentSince Mar 11, 2021 Accepting new patients
Southern California Sports Rehabilitation, Inc. CurrentSince Mar 11, 2021 Accepting new patients
Cedars-Sinai Medical Care Foundation CurrentSince Mar 1, 2024 Accepting new patients

Locations

289 W Huntington Dr
Ste 103
Arcadia, CA 91007
Phone (626) 821-0707

8635 W 3rd St
Ste 465W
Los Angeles, CA 90048
Phone (310) 423-0674

1835 S La Cienega Blvd
#C
Los Angeles, CA 90035
Phone (310) 287-3711

800 S Raymond Ave
Pasadena, CA 91105
Phone (626) 795-8051

1809 E Dyer Rd
Ste 311
Santa Ana, CA 92705
Phone (949) 863-0022

11627 Telegraph Rd
Ste 105
Santa Fe Springs, CA 90670
Phone (562) 948-4004

4140 W 190th St
Torrance, CA 90504
Phone (310) 967-1780

Organizations & group practices 3

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": "1614816000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1614816000000",
    "number": "1245825835",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "201 N SIERRA VISTA ST",
            "city": "MONTEREY PARK",
            "state": "CA",
            "postal_code": "917551920"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "201 N SIERRA VISTA ST",
            "city": "MONTEREY PARK",
            "state": "CA",
            "postal_code": "917551920",
            "telephone_number": "321-662-3069"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BANH",
        "first_name": "KHIEM",
        "credential": "PT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2021-03-04",
        "last_updated": "2021-03-04",
        "certification_date": "2021-03-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "299533",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Monterey Park, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 4, 2021; 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.