Individual provider Active NPI

Harone Sangcopan

  • Physical Therapy Assistant
  • Chula Vista, CA
National Provider Identifier
1265341598
Registry record updated Sep 2, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy AssistantTaxonomy code 225200000X
License
55137 Issued in CA
Practice address
2437 Fenton St Ste B
Chula Vista, CA 91914-3517
Phone
(619) 656-5176
NPI assigned
Sep 2, 2026
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 2, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Assistant 225200000X 55137 CA Primary

Addresses

Primary practice location

2437 Fenton St Ste B
Chula Vista, CA 91914-3517

Mailing address

6991 Paradise Valley Rd Apt 121
San Diego, CA 92139-4303
Phone (619) 944-5548

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

NPI Registry JSON

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

{
    "created_epoch": "1788307200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1788307200000",
    "number": "1265341598",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6991 PARADISE VALLEY RD APT 121",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921394303",
            "telephone_number": "619-944-5548"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2437 FENTON ST STE B",
            "city": "CHULA VISTA",
            "state": "CA",
            "postal_code": "919143517",
            "telephone_number": "619-656-5176"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SANGCOPAN",
        "first_name": "HARONE",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2026-09-02",
        "last_updated": "2026-09-02",
        "certification_date": "2026-09-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "CA",
            "license": "55137",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chula Vista, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 2, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.

Verify at the official NPI Registry.