Individual provider Active NPI

Christopher Kamen, PT, DPT, COMT, ATC

  • Physical Therapist
  • Laguna Niguel, CA
National Provider Identifier
1447318944
Registry record updated May 28, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT33011 Issued in CA
Practice address
30112 Crown Valley Pkwy
Laguna Niguel, CA 92677-2042
Phone
(949) 363-7716
NPI assigned
Dec 5, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 28, 2011

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 PT33011 CA Primary

Addresses

Primary practice location

30112 Crown Valley Pkwy
Laguna Niguel, CA 92677-2042

Mailing address

23412 Pacific Park Dr
Unit 35 a
Aliso Viejo, CA 92656-5373
Phone (949) 680-5544

Other identifiers 1

IdentifierTypeStateIssuer
PT33011OtherCASTATE LICENSE

Other names 1

  • Dr. Chris Kamen Professional name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20070314000528 CA Practitioner - Physical Therapist in Private Practice 6103929039 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2006
Medicare assignment
May accept Medicare assignment
Group practices
Select Cal Physical Therapy PCGroup PAC ID 4789070699, 162 clinicians

Practice addresses (Care Compare)

27071 Cabot Rd
Suite 114
Laguna Hills, CA 92653-7011
Phone (949) 367-1833

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PT33011CAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Select Cal Physical Therapy PC Physical Therapist CurrentSince Apr 1, 2022 Accepting new patients
Select Cal Physical Therapy PC CurrentSince Apr 1, 2022 Accepting new patients
Select Cal Physical Therapy PC Physical Therapist Current Accepting new patients
Signature Physical Therapy P C Physical Therapist PastSince Jul 1, 2005 Accepting new patients

Locations

10540 Talbert Ave
Ste 250W
Fountain Vly, CA 92708
Phone (714) 964-0727

27071 Cabot Rd
Ste 114
Laguna Hills, CA 92653
Phone (949) 367-1833

30112 Crown Valley Pkwy
Laguna Niguel, CA 92677
Phone (949) 363-7716

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1165276800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1306540800000",
    "number": "1447318944",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23412 PACIFIC PARK DR",
            "address_2": "UNIT 35 A",
            "city": "ALISO VIEJO",
            "state": "CA",
            "postal_code": "926565373",
            "telephone_number": "949-680-5544"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "30112 CROWN VALLEY PKWY",
            "city": "LAGUNA NIGUEL",
            "state": "CA",
            "postal_code": "926772042",
            "telephone_number": "949-363-7716"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KAMEN",
        "first_name": "CHRISTOPHER",
        "name_prefix": "Dr.",
        "credential": "PT, DPT, COMT, ATC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-12-05",
        "last_updated": "2011-05-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "PT33011",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "PT33011",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CHRIS",
            "last_name": "KAMEN",
            "prefix": "DR.",
            "credential": "PT, DPT, COMT, ATC",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Laguna Niguel, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 28, 2011; 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.