Keith Ganzon, D.P.T

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT37291 Issued in CA

Practice address

24198 Khan Dr
Loma Linda, CA 92354-4877

Phone

(909) 633-1278

NPI assigned

Aug 24, 2011

Last updated

Aug 24, 2011By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Merit-based Incentive Payment System (MIPS)

Final score

78.03 of 100Reported as group

Quality

78.11

Improvement activities

40

Cost

33.57

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.

• Chaparral Physical Therapy, Inc

  • Physical Therapist
  • Hesperia, CA
  • NPI 1982630455
  NPD
• Lifetime Physical Therapy and Fitness Inc

  dba Lifetime Home Health and Wellness

  • Physical Therapy Clinic/Center
  • Yorba Linda, CA
  • NPI 1649424425

  Physical Therapist

  NPD
• Tracy L Malan RPT Apc

  dba Chaparral Physical Therapy

  • Physical Therapist
  • Barstow, CA
  • NPI 1528083227
  NPD
• Wimbledon Park Physical Therapy

  • Physical Therapist
  • Victorville, CA
  • NPI 1366484131
  NPD

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

{
    "created_epoch": "1314144000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1314144000000",
    "number": "1538449368",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24198 KHAN DR",
            "city": "LOMA LINDA",
            "state": "CA",
            "postal_code": "923544877",
            "telephone_number": "909-633-1278"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "24198 KHAN DR",
            "city": "LOMA LINDA",
            "state": "CA",
            "postal_code": "923544877",
            "telephone_number": "909-633-1278"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GANZON",
        "first_name": "KEITH",
        "credential": "D.P.T",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2011-08-24",
        "last_updated": "2011-08-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "PT37291",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PT37291",
            "identifier": "PT37291",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Alvaro Eduardo Galvis, PH.D., M.D.
• Christina C Gambino
• Bryant Gamboa, NP
• Megan Nicole Gampong
• Lakshmi Lakshmanan Ganesan
• Yinglin Gao
• Maria C Garberoglio, M.D.
• Delilah Mixtli Garcia-Kearney, NP
• Crystal Jannet Garcia
• Dante Garcia

• Physical Therapist in Loma Linda, CA
• Providers in Loma Linda, CA by specialty
• Physical Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 24, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• 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.