Jeff Parkan, P.T.

Primary specialty

Sports Medicine (Neuromusculoskeletal Medicine) PhysicianTaxonomy code 204C00000X

License

PT30067 Issued in CA

Practice address

17272 Newhope St
Suite G
Fountain Valley, CA 92708-4210

Phone

(714) 638-8693

Fax

(714) 638-3940

NPI assigned

Jun 21, 2006

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Enrolled in CA

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2004

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

California Luna Care Physical Therapy PCGroup PAC ID 9638427834, 769 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• California Luna Care Physical Therapy PC

  • Physical Therapist
  • Los Gatos, CA
  • NPI 1689162166
  Medicare reassignment Care Compare group NPD
• Rausch Physical Therapy, Inc.

  dba Rausch Orthopedic Rehabilitation & Physical Therapy

  • Physical Therapy Clinic/Center
  • Laguna Niguel, CA
  • NPI 1538110861
  NPD
• Pack Physical Therapy, Inc.

  dba ImPackt Physical Therapy and Sports Recovery

  • Physical Therapist
  • South Jordan, UT
  • NPI 1336413798
  NPD
• Balance Rehabilitation, Inc.

  • Orthopedic Physical Therapist
  • Lake Forest, CA
  • NPI 1184734931
  NPD (past)
• JM Physical Therapy Inc

  • Physical Therapist
  • Laguna Niguel, CA
  • NPI 1558658336
  NPD (past)
• Mobilpt, Inc.

  • Orthopedic Physical Therapist
  • Fountain Valley, CA
  • NPI 1013274752
  NPD (past)
• Ocean Physical Therapy, Inc.

  • Physical Therapist
  • San Clemente, CA
  • NPI 1396895512
  NPD (past)
• Pack Physical Therapy

  • Physical Therapy Clinic/Center
  • Dana Point, CA
  • NPI 1750537585
  NPD (past)
• Restor Physical Therapy Inc.

  • Physical Therapy Clinic/Center
  • Fountain Valley, CA
  • NPI 1952414112
  NPD (past)

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

{
    "created_epoch": "1150848000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1467498139",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 8125",
            "city": "FOUNTAIN VALLEY",
            "state": "CA",
            "postal_code": "927288125",
            "telephone_number": "714-638-8693",
            "fax_number": "714-638-3940"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17272 NEWHOPE ST",
            "address_2": "SUITE G",
            "city": "FOUNTAIN VALLEY",
            "state": "CA",
            "postal_code": "927084210",
            "telephone_number": "714-638-8693",
            "fax_number": "714-638-3940"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PARKAN",
        "first_name": "JEFF",
        "credential": "P.T.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-21",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "204C00000X",
            "taxonomy_group": "",
            "desc": "Neuromusculoskeletal Medicine, Sports Medicine",
            "state": "CA",
            "license": "PT30067",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jonggoo Park, DDS
• Nicole Sorah Park, AMFT
• Somin Park, PHARM.D
• Sunmi Park
• Susan Jung Park
• Parkinsons Movement & Disorder Medical Group Inc
• Kourosh Parsapour, MD
• Yvette Pasillas, LCSW
• Ahidee Pastor
• Arati Patel

• Sports Medicine (Neuromusculoskeletal Medicine) Physician in Fountain Valley, CA
• Providers in Fountain Valley, CA by specialty
• Sports Medicine (Neuromusculoskeletal Medicine) Physician 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.
• 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.