Individual provider Active NPI

Jeffrey Banh, DPT

  • Physical Therapist
  • Irvine, CA
National Provider Identifier
1639784457
Registry record updated Sep 9, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
299024 Issued in CA
Practice address
22 Odyssey Ste 165
Irvine, CA 92618-3194
Phone
(949) 727-2192
Fax
(949) 727-2193
NPI assigned
Sep 9, 2020
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 9, 2020

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 299024 CA Primary

Addresses

Primary practice location

22 Odyssey Ste 165
Irvine, CA 92618-3194

Mailing address

125 S Robin Rd
West Covina, CA 91791-1838
Phone (626) 826-5921

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20201008000395 CA Practitioner - Physical Therapist in Private Practice 1658790837 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Transit Physical Therapy PCGroup PAC ID 3274899315, 26 clinicians

Practice addresses (Care Compare)

1317 W Foothill Blvd
Suite 100
Upland, CA 91786-3673
Phone (909) 671-1553

17051 Sierra Lakes Pkwy
Suite 204
Fontana, CA 92336-1274
Phone (909) 686-6826

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Transit Physical Therapy PC Physical Therapist CurrentSince Oct 2, 2023 Accepting new patients
All Star Physical Therapy Physical Therapist CurrentSince Jan 6, 2026 Accepting new patients
Dynamx Physical Therapy, Inc. a Physical Therapy Corporation Physical Therapist CurrentSince Jan 6, 2026 Accepting new patients
Iconic Sports Physical Therapy PC Physical Therapist Current Accepting new patients
Team Physical Therapy, Inc. Physical Therapist CurrentSince Sep 7, 2021 Accepting new patients

Locations

16008 Kamana Rd
Ste 200
Apple Valley, CA 92307
Phone (760) 810-7767

851 E Sixth St
Ste A4
Beaumont, CA 92223
Phone (909) 756-7001

7941 Beach Blvd
Ste J
Buena Park, CA 90620
Phone (714) 736-6855

17051 Sierra Lakes Pkwy
#204
Fontana, CA 92336
Phone (909) 686-6826

17051 Sierra Lakes Pkwy
Ste 204
Fontana, CA 92336
Phone (909) 686-6826

25915 Barton Rd
Ste 206
Loma Linda, CA 92354
Phone (909) 686-6903

450 W Palmdale Blvd
Palmdale, CA 93551
Phone (661) 273-5333

1338 Main St
Ramona, CA 92065
Phone (760) 789-1400

8045 Archibald Ave
Ste 150
Rancho Cucamonga, CA 91730
Phone (909) 310-9850

10590 Town Center Dr
Ste 100
Rch Cucamonga, CA 91730
Phone (909) 948-1124

1850 N Riverside Ave
Ste 240
Rialto, CA 92376
Phone (909) 258-2220

2280 Market St
Ste 230
Riverside, CA 92501
Phone (951) 289-9454

275 W Hospitality Ln
Ste 102
San Bernardino, CA 92408
Phone (909) 567-2221

275 W Hospitality Ln
Ste 101
San Bernardino, CA 92408
Phone (909) 567-2221

275 W Hospitality Ln
Ste 100
San Bernardino, CA 92408
Phone (909) 567-2221

275 W Hospitality Ln
Ste 103
Sn Bernrdno, CA 92408
Phone (909) 567-2221

29645 Rancho California Rd
Ste 234
Temecula, CA 92591
Phone (951) 506-3001

20657 Golden Springs Dr
Ste 113
Walnut, CA 91789
Phone (909) 655-6060

100 N Barranca St
Ste 920
West Covina, CA 91791
Phone (626) 263-6469

Organizations & group practices 5

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": "1599609600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1599609600000",
    "number": "1639784457",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "125 S ROBIN RD",
            "city": "WEST COVINA",
            "state": "CA",
            "postal_code": "917911838",
            "telephone_number": "626-826-5921"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22 ODYSSEY STE 165",
            "city": "IRVINE",
            "state": "CA",
            "postal_code": "926183194",
            "telephone_number": "949-727-2192",
            "fax_number": "949-727-2193"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BANH",
        "first_name": "JEFFREY",
        "name_prefix": "Dr.",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-09-09",
        "last_updated": "2020-09-09",
        "certification_date": "2020-09-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "299024",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Irvine, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 2020; 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.