Individual provider Active NPI

Tashi Paldon Bhutia, PT

  • Physical Therapist
  • Santa Ana, CA
National Provider Identifier
1396293684
Registry record updated Oct 7, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
62 040836 Issued in CA
Practice address
2700 N Main St Ste 150
Santa Ana, CA 92705-6638
Phone
(844) 316-7979
Fax
(866) 813-1235
NPI assigned
Sep 14, 2016
Last updated
Oct 7, 2020By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 7, 2020

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 62 040836 CA Primary

Addresses

Primary practice location

2700 N Main St Ste 150
Santa Ana, CA 92705-6638

Mailing address

7525 Metropolitan Dr Ste 306
San Diego, CA 92108-4404
Phone (619) 432-4634

Other identifiers 1

IdentifierTypeStateIssuer
299014OtherCACOMMERCIAL, PPO, PRIVATE

Other names 1

  • Tashi Paldon Honang Former name

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

LicenseStateTypeSpecialty
62 040836CAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Spinezone Medical Fitness, Inc. Physical Therapist CurrentSince Sep 30, 2020 Accepting new patients
Kim Youngrae Medical, Inc PastSince Nov 27, 2022 Accepting new patients
JM Physical Therapy Inc Physical Therapist Past Accepting new patients
Spinezone Medical Fitness, Inc. Physical Therapist PastSince Sep 30, 2020 Accepting new patients
Spinezone Medical Fitness, Inc. Physical Therapist Past Accepting new patients
Livara Health Medical Group NJ, PC Physical Therapist Past Accepting new patients

Locations

1828 Oceanside Blvd
Oceanside, CA 92054

7525 Metropolitan Dr
Ste 306
San Diego, CA 92108
Phone (619) 275-7460

Organizations & group practices 6

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1473811200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1602028800000",
    "number": "1396293684",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7525 METROPOLITAN DR STE 306",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921084404",
            "telephone_number": "619-432-4634",
            "fax_number": "866-813-1235"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2700 N MAIN ST STE 150",
            "city": "SANTA ANA",
            "state": "CA",
            "postal_code": "927056638",
            "telephone_number": "844-316-7979",
            "fax_number": "866-813-1235"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BHUTIA",
        "first_name": "TASHI",
        "middle_name": "PALDON",
        "credential": "PT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-09-14",
        "last_updated": "2020-10-07",
        "certification_date": "2020-10-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "62 040836",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "COMMERCIAL, PPO, PRIVATE",
            "identifier": "299014",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "TASHI",
            "last_name": "HONANG",
            "middle_name": "PALDON",
            "credential": "PT",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Santa Ana, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 7, 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.