Vernon Kwan, P.T.

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT26896 Issued in CA

Practice address

3390 Mount Diablo Blvd.
Suite 201
Lafayette, CA 94549-4006

Phone

(925) 284-6150

Fax

(925) 284-6155

NPI assigned

May 24, 2007

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

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.

• East Bay Shoulder Clinic and Sports Rehabilitation, Inc

  • Orthopaedic Surgery Physician
  • Lafayette, CA
  • NPI 1114027034
  NPD (past)

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

{
    "created_epoch": "1179964800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1396956405",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3390 MOUNT DIABLO BLVD.",
            "address_2": "SUITE 201",
            "city": "LAFAYETTE",
            "state": "CA",
            "postal_code": "945494006",
            "telephone_number": "925-284-6150",
            "fax_number": "925-284-6155"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3390 MOUNT DIABLO BLVD.",
            "address_2": "SUITE 201",
            "city": "LAFAYETTE",
            "state": "CA",
            "postal_code": "945494006",
            "telephone_number": "925-284-6150",
            "fax_number": "925-284-6155"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KWAN",
        "first_name": "VERNON",
        "name_prefix": "Mr.",
        "credential": "P.T.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-05-24",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "PT26896",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Leena Koyano
• Violet Kozloff
• John M Kravitz, LMFT
• Danielle Kumandan
• Kurt R Wharton MD, Inc.
• Crystine L'Heraux, NP-C
• Lafayette Physical Therapy, Inc.
• Lafayette School District
• Anupa Narendra Laheri, D.D.S.
• Vivian Lai

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

• 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.

Verify at the official NPI Registry.