Organization Active NPI

Lai NA Tung

  • Physical Therapy Clinic/Center
  • Delano, CA
National Provider Identifier
1437501715
Registry record updated Apr 2, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
License
0000004481 Issued in CA
Legal business name
LAI NA TUNG
Practice address
623 Main St
Delano, CA 93215-2933
Phone
(661) 474-2600
Fax
(661) 474-2601
NPI assigned
Jul 11, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 2, 2018

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

Authorized official

Name
Lai NA Tung
Title
Owner
Phone
(661) 474-2600

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Clinic/Center 261QP2000X 0000004481 CA Primary

Addresses

Primary practice location

623 Main St
Delano, CA 93215-2933

Mailing address

623 Main St
Delano, CA 93215-2933
Phone (661) 474-2600

Other practice location 1

1004 14th Ave
Delano, CA 93215-2246
Phone (661) 474-2600

Other names 1

  • Alpha Dynamic Physical Therapy Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20161116000362 CA Part B Supplier - Physical/Occupational Therapy Group in Private Practice 4486933413 Receives reassigned benefits from 1 practitioner
Practice locations: Delano, CA; Rosemead, CA

National Provider Directory

National Provider Directory

Locations

1004 14th Ave
#A
Delano, CA 93215
Phone (661) 474-2600

1109 High St
Ste A
Delano, CA 93215
Phone (661) 474-2600

623 Main St
Delano, CA 93215
Phone (661) 474-2600

8841 Garvey Ave
Ste C
Rosemead, CA 91770

8841 Garvey Ave
#C
Rosemead, CA 91770
Phone (626) 716-9882

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1468195200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1522627200000",
    "number": "1437501715",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "623 MAIN ST",
            "city": "DELANO",
            "state": "CA",
            "postal_code": "932152933",
            "telephone_number": "661-474-2600",
            "fax_number": "661-474-2601"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "623 MAIN ST",
            "city": "DELANO",
            "state": "CA",
            "postal_code": "932152933",
            "telephone_number": "661-474-2600",
            "fax_number": "661-474-2601"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1004 14th Ave",
            "address_purpose": "LOCATION",
            "city": "Delano",
            "state": "CA",
            "postal_code": "932152246",
            "country_code": "US",
            "telephone_number": "661-474-2600",
            "fax_number": "661-474-2601",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "LAI NA TUNG",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-07-11",
        "last_updated": "2018-04-02",
        "status": "A",
        "authorized_official_last_name": "TUNG",
        "authorized_official_first_name": "LAI",
        "authorized_official_middle_name": "NA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "661-474-2600"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "CA",
            "license": "0000004481",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Alpha Dynamic Physical Therapy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Delano, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 2, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.