Individual provider Active NPI

Robert Jee Hong Quan, P.T.

  • Physical Therapist
  • El Cajon, CA
National Provider Identifier
1255810792
Registry record updated Aug 7, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
295077 Issued in CA
Practice address
181 Jamacha Road
El Cajon, CA 92019
Phone
(619) 447-7774
Fax
(619) 447-7779
NPI assigned
Aug 7, 2018
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 7, 2018

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 295077 CA Primary

Addresses

Primary practice location

181 Jamacha Road
El Cajon, CA 92019

Mailing address

320 Broadway Ste 2
Chula Vista, CA 91910-3502
Phone (619) 422-0404

Other practice location 1

2417 Fenton St
Chula Vista, CA 91914-3517
Phone (619) 591-7000

Other practice location 2

320 Broadway Ste 2
Chula Vista, CA 91910-3502
Phone (619) 422-0404

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20181003001434 CA Practitioner - Physical Therapist in Private Practice 6608128681 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
295077CAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Proactive Physical Therapy & Sports Medicine Inc Physical Therapist CurrentSince Sep 1, 2022 Accepting new patients
JC Chiropractic, P.C. Past Accepting new patients
DPT Holdings PLLC Physical Therapist PastSince Sep 1, 2025 Accepting new patients

Locations

6070 Avenida Encinas
Ste 100
Carlsbad, CA 92011
Phone (760) 444-0102

2345 E 8th St
Ste 106
National City, CA 91950
Phone (619) 323-2040

3665 Ruffin Rd
Ste 304
San Diego, CA 92123
Phone (619) 930-9750

17150 Via del Campo
Ste 200
San Diego, CA 92127
Phone (858) 381-5084

380 S Melrose Dr
Ste 208
Vista, CA 92081
Phone (760) 643-4086

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": "1533600000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1533600000000",
    "number": "1255810792",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "320 BROADWAY STE 2",
            "city": "CHULA VISTA",
            "state": "CA",
            "postal_code": "919103502",
            "telephone_number": "619-422-0404"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "181 JAMACHA ROAD",
            "city": "EL CAJON",
            "state": "CA",
            "postal_code": "92019",
            "telephone_number": "619-447-7774",
            "fax_number": "619-447-7779"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2417 Fenton St",
            "address_purpose": "LOCATION",
            "city": "Chula Vista",
            "state": "CA",
            "postal_code": "919143517",
            "country_code": "US",
            "telephone_number": "619-591-7000",
            "fax_number": "619-591-7049",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "320 Broadway Ste 2",
            "address_purpose": "LOCATION",
            "city": "Chula Vista",
            "state": "CA",
            "postal_code": "919103502",
            "country_code": "US",
            "telephone_number": "619-422-0404",
            "fax_number": "619-422-4153",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "QUAN",
        "first_name": "ROBERT",
        "middle_name": "JEE HONG",
        "credential": "P.T.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-08-07",
        "last_updated": "2018-08-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "295077",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in El Cajon, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 7, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.