Michael Ming Kwan Kam, P.T.

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

35396 Issued in CA

Practice address

81557 Doctor Carreon Blvd
Indio, CA 92201-5517

Phone

(760) 775-5511

NPI assigned

Feb 6, 2009

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• All Star Physical Therapy

  • Physical Therapist
  • Murrieta, CA
  • NPI 1750559431
  NPD (past)
• Elite Physical Therapy and Wellness, Inc.

  • Physical Therapist
  • La Quinta, CA
  • NPI 1780702209
  NPD (past)

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

{
    "created_epoch": "1233878400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1233878400000",
    "number": "1316186802",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "81557 DOCTOR CARREON BLVD",
            "city": "INDIO",
            "state": "CA",
            "postal_code": "922015517",
            "telephone_number": "760-775-5511"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "81557 DOCTOR CARREON BLVD",
            "city": "INDIO",
            "state": "CA",
            "postal_code": "922015517",
            "telephone_number": "760-775-5511"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KAM",
        "first_name": "MICHAEL",
        "middle_name": "MING KWAN",
        "name_prefix": "Mr.",
        "credential": "P.T.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2009-02-06",
        "last_updated": "2009-02-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "018591",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "35396",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jerry Frank Juhl, PT
• Julio C. Martinez, M.D. Medical Group, Inc
• Christopher Leo Kahm, CAARR
• Kaiser Foundation Health Plan Inc
• Ian David Kaiser, M.D.
• Vincent J Kambe, DPT
• Wayne Kan, RPH
• Wan Sihk Kang, L.AC.
• Gabriel Kason
• Jane Katz-Villalobos

• Physical Therapist in Indio, CA
• Providers in Indio, CA by specialty
• Physical Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 6, 2009; 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.