Kapwa Physical Therapy and Performance, PC

Primary specialty

Physical Therapy Clinic/CenterTaxonomy code 261QP2000X

Legal business name

KAPWA PHYSICAL THERAPY AND PERFORMANCE, PC

Practice address

4302 Melrose Ave
Los Angeles, CA 90029-3511

Phone

(702) 580-7489

NPI assigned

Apr 5, 2024

Organization subpart

No

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

Authorized official

Name

Dr. John Patrick Dungca Gan, DPTNPI 1386317634

Title

Doctor of Physical Therapy

Phone

(702) 580-7489

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• John Patrick Dungca Gan, DPT

  • Physical Therapist
  • Los Angeles, CA
  • NPI 1386317634
  NPD Authorized official

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

{
    "created_epoch": "1712275200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1712275200000",
    "number": "1669225116",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8605 SANTA MONICA BLVD # 238791",
            "city": "WEST HOLLYWOOD",
            "state": "CA",
            "postal_code": "900694109"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4302 MELROSE AVE",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900293511",
            "telephone_number": "702-580-7489"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KAPWA PHYSICAL THERAPY AND PERFORMANCE, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-04-05",
        "last_updated": "2024-04-05",
        "certification_date": "2024-04-05",
        "status": "A",
        "authorized_official_last_name": "GAN",
        "authorized_official_first_name": "JOHN PATRICK",
        "authorized_official_middle_name": "DUNGCA",
        "authorized_official_title_or_position": "DOCTOR OF PHYSICAL THERAPY",
        "authorized_official_telephone_number": "702-580-7489",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPT"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jaclyn Michelle Kappico, M.S., M.D.
• Tania Betty Kaprealian, MD
• Maral Kaprielian, RD
• Elaine M Kaptein, M.D.
• Patricia Ann Kapur, MD
• Amitha Namboodiri Kapyur, MD
• Emma Kar, MD
• Nivedita Kar, MD
• Yasmin Kara Hamo, MD
• Venus Kalai Karabell, PHARMD

• Physical Therapy Clinic/Center in Los Angeles, CA
• Providers in Los Angeles, CA by specialty
• Physical Therapy Clinic/Center in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 5, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.