Active NPI
Willy Quach, DPT
- Physical Therapist
- Tarzana, CA
National Provider Identifier
1609349745
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 295978
- Practice address
- 18757 Burbank Blvd Ste 118
Tarzana, CA 91356-6345 - Phone
- (818) 813-5300
- NPI assigned
- Jan 10, 2019
- 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 | 295978 | CA | Primary |
Addresses
Primary practice location
18757 Burbank Blvd Ste 118
Tarzana, CA 91356-6345
Mailing address
935 Hammond St
West Hollywood, CA 90069-4406
Other practice location 1
68 Willow Rd
Menlo Park, CA 94025-3653
Phone (866) 839-6979
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Joel Z Scherr RPT Inc | Physical Therapist | Current | Accepting new patients |
| California Luna Care Physical Therapy PC | Physical Therapist | Current | Accepting new patients |
| Willpower Wellness and Physical Therapy | Current | Accepting new patients |
Locations
415 N Crescent Dr
Ste 200
Beverly Hills, CA 90210
Phone (310) 657-8591
68 Willow Rd
Menlo Park, CA 94025
Phone (650) 691-8630
Organizations & group practices 3
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.
-
- Physical Therapist
- Los Gatos, CA
- NPI 1689162166
-
- Physical Therapy Clinic/Center
- Los Angeles, CA
- NPI 1194713321
Physical Therapist
-
- Physical Therapy Clinic/Center
- Winnetka, CA
- NPI 1104518513
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1547078400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1566950400000",
"number": "1609349745",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "935 HAMMOND ST",
"city": "WEST HOLLYWOOD",
"state": "CA",
"postal_code": "900694406"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "18757 BURBANK BLVD STE 118",
"city": "TARZANA",
"state": "CA",
"postal_code": "913566345",
"telephone_number": "818-813-5300"
}
],
"practiceLocations": [
{
"address_1": "68 Willow Rd",
"address_purpose": "LOCATION",
"city": "Menlo Park",
"state": "CA",
"postal_code": "940253653",
"country_code": "US",
"telephone_number": "866-839-6979",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "QUACH",
"first_name": "WILLY",
"name_prefix": "Dr.",
"credential": "DPT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2019-01-10",
"last_updated": "2019-08-28",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "CA",
"license": "295978",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Tarzana, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 28, 2019; 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.