Organization Active NPI

Naum Physical Therapy PC

  • Home Health Agency
  • Rancho Cucamonga, CA
National Provider Identifier
1295340792
Registry record updated Sep 10, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
NAUM PHYSICAL THERAPY PC
Practice address
11405 Fulbourn CT
Rancho Cucamonga, CA 91730-8341
Phone
(571) 835-5038
NPI assigned
Sep 10, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 10, 2020

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

Authorized official

Name
Yongha Kim, PTNPI 1679985535
Title
President
Phone
(571) 835-5038

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary
Physical Therapy Clinic/Center 261QP2000X

Addresses

Primary practice location

11405 Fulbourn CT
Rancho Cucamonga, CA 91730-8341

Mailing address

11405 Fulbourn CT
Rancho Cucamonga, CA 91730-8341
Phone (571) 835-5038

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1599696000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1599696000000",
    "number": "1295340792",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11405 FULBOURN CT",
            "city": "RANCHO CUCAMONGA",
            "state": "CA",
            "postal_code": "917308341",
            "telephone_number": "571-835-5038"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11405 FULBOURN CT",
            "city": "RANCHO CUCAMONGA",
            "state": "CA",
            "postal_code": "917308341",
            "telephone_number": "571-835-5038"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NAUM PHYSICAL THERAPY PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-09-10",
        "last_updated": "2020-09-10",
        "certification_date": "2020-09-10",
        "status": "A",
        "authorized_official_last_name": "KIM",
        "authorized_official_first_name": "YONGHA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "571-835-5038",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rancho Cucamonga, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 2020; 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.