Active NPI
Ly Sanh Thong, D.C.
- Chiropractor
- Corona, CA
National Provider Identifier
1316079114
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 28746
- Practice address
- 4205 Riviera Dr
Corona, CA 92883-0771 - Phone
- (951) 340-3403
- NPI assigned
- Mar 9, 2007
- Last updated
- Jul 8, 2007
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 28746 | CA | Primary |
Addresses
Primary practice location
4205 Riviera Dr
Corona, CA 92883-0771
Mailing address
4140 Tyler St
Riverside, CA 92503-3445
Phone (951) 688-1135
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
| License | State | Type | Specialty |
|---|---|---|---|
| 28746 | CA | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1173398400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1316079114",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4140 TYLER ST",
"city": "RIVERSIDE",
"state": "CA",
"postal_code": "925033445",
"telephone_number": "951-688-1135",
"fax_number": "951-688-0931"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4205 RIVIERA DR",
"city": "CORONA",
"state": "CA",
"postal_code": "928830771",
"telephone_number": "951-340-3403"
}
],
"practiceLocations": [],
"basic": {
"last_name": "THONG",
"first_name": "LY",
"middle_name": "SANH",
"name_prefix": "Dr.",
"credential": "D.C.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-03-09",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "CA",
"license": "28746",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Corona, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.