Individual provider Active NPI

Bryant Thanh Ngo, PT, DPT

  • Physical Therapist
  • Rancho Santa Margarita, CA
National Provider Identifier
1427625854
Registry record updated Jun 4, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
300275 Issued in CA
Practice address
30212 Tomas Ste 120
Rancho Santa Margarita, CA 92688-2173
Phone
(949) 709-8770
NPI assigned
Jun 4, 2021
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 4, 2021

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 300275 CA Primary

Addresses

Primary practice location

30212 Tomas Ste 120
Rancho Santa Margarita, CA 92688-2173

Mailing address

10434 Enloe St
South El Monte, CA 91733-2144
Phone (626) 391-7071

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220202001652 CA Practitioner - Physical Therapist in Private Practice 0749673416 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Asis Physical Therapy IncGroup PAC ID 1951455765, 16 clinicians
California Luna Care Physical Therapy PCGroup PAC ID 9638427834, 769 clinicians

Practice addresses (Care Compare)

11848 Bernardo Plaza CT
Suite 100
San Diego, CA 92128-2417
Phone (888) 673-2263

16185 Los Gatos Blvd
Suite 205
Los Gatos, CA 95032-4569
Phone (866) 525-3175

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Hands on Physical Therapy, Inc CurrentSince Sep 14, 2021 Accepting new patients
Asis Physical Therapy, Inc. Physical Therapist CurrentSince Jun 3, 2023 Accepting new patients
California Luna Care Physical Therapy PC Physical Therapist CurrentSince Oct 30, 2024 Accepting new patients

Locations

16185 Los Gatos Blvd
Ste 205
Los Gatos, CA 95032
Phone (408) 409-4167

30212 Tomas
Ste 120
Rcho Sta Marg, CA 92688
Phone (949) 709-8770

11848 Bernardo Plaza Ct
Ste 100
San Diego, CA 92128
Phone (858) 217-2496

1828 Garnet Ave
San Diego, CA 92109
Phone (858) 217-2496

Organizations & group practices 3

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": "1622764800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1622764800000",
    "number": "1427625854",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10434 ENLOE ST",
            "city": "SOUTH EL MONTE",
            "state": "CA",
            "postal_code": "917332144",
            "telephone_number": "626-391-7071"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "30212 TOMAS STE 120",
            "city": "RANCHO SANTA MARGARITA",
            "state": "CA",
            "postal_code": "926882173",
            "telephone_number": "949-709-8770"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NGO",
        "first_name": "BRYANT",
        "middle_name": "THANH",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-06-04",
        "last_updated": "2021-06-04",
        "certification_date": "2021-06-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "300275",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rancho Santa Margarita, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 4, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.