Active NPI
Kevin Bai Varee, DPT
- Physical Therapist
- El Segundo, CA
National Provider Identifier
1508135047
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 38618
- Practice address
- 111 Penn St
El Segundo, CA 90245-3908 - Phone
- (310) 426-9570
- NPI assigned
- Dec 28, 2011
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 38618 | CA | Primary |
Addresses
Primary practice location
111 Penn St
El Segundo, CA 90245-3908
Mailing address
111 Penn St
El Segundo, CA 90245-3908
Phone (310) 426-9570
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2011
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
23430 Hawthorne Blvd
Suite 105
Torrance, CA 90505-4777
Phone (310) 791-3812
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 38618 | CA | MD | Marriage & Family Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Healthcare Partners Affiliates Medical Group | Current | Accepting new patients | |
| Healthcare Partners Affiliates Medical Group | Current | Accepting new patients | |
| Healthcare Partners Affiliates Medical Group | Current | Accepting new patients | |
| Tag Physical Therapy, Inc | Physical Therapist | Past | Accepting new patients |
Locations
824 E Carson St
Ste 104
Carson, CA 90745
Phone (310) 830-9706
23430 Hawthorne Blvd
Ste 105
Torrance, CA 90505
Phone (310) 465-2451
Networks
- BSC 65 PLUS INDIVIDUAL MAPD
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.
-
dba Optum
- Internal Medicine Physician
- Los Angeles, CA
- NPI 1659312593
-
dba Optum
- Durable Medical Equipment & Medical Supplies
- Murrieta, CA
- NPI 1760057269
-
dba Optum
- Addiction Medicine (Internal Medicine) Physician
- Tustin, CA
- NPI 1891981502
-
- Physical Therapist
- El Segundo, CA
- NPI 1063581965
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1325030400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1325030400000",
"number": "1508135047",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "111 PENN ST",
"city": "EL SEGUNDO",
"state": "CA",
"postal_code": "902453908",
"telephone_number": "310-426-9570"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "111 PENN ST",
"city": "EL SEGUNDO",
"state": "CA",
"postal_code": "902453908",
"telephone_number": "310-426-9570"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VAREE",
"first_name": "KEVIN",
"middle_name": "BAI",
"credential": "DPT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2011-12-28",
"last_updated": "2011-12-28",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "CA",
"license": "38618",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in El Segundo, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 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.