Individual provider Active NPI

Richard Soung Bien, P.T.,L.AC., PH.D.

  • Physical Therapist
  • Fullerton, CA
National Provider Identifier
1669493094
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT14242 Issued in CA
Practice address
1401 S Brookhurst Rd
Suite 105
Fullerton, CA 92833-4403
Phone
(714) 446-0708
Fax
(714) 446-8708
NPI assigned
Jul 21, 2006
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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 PT14242 CA Primary

Addresses

Primary practice location

1401 S Brookhurst Rd
Suite 105
Fullerton, CA 92833-4403

Mailing address

1401 S Brookhurst Rd
Suite 105
Fullerton, CA 92833-4403
Phone (714) 446-0708

Other identifiers 3

IdentifierTypeStateIssuer
0PT142420OtherCABLUE SHIELD PROVIDER NUMB
AC3739OtherCAACUPUNCTURIST LICENSE
PT14242OtherCAPT LICENSE

Other names 1

  • Soung Ho Bien Other name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040206000632 CA Practitioner - Physical Therapist in Private Practice 7618860156 Practice locations: Los Angeles, CA

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 1977
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

3000 W Olympic Blvd
Suite 308
Los Angeles, CA 90006-2567
Phone (213) 268-0602

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
PT14242CAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Paul Choong Hwan Lee MD a Medical Corporation Past Accepting new patients
Paul Choong Hwan Lee, M.D. a Medical Corporation Past Accepting new patients
Bien Alternative Healthcare Center Inc. Physical Therapist Past Accepting new patients

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1153440000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1669493094",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1401 S BROOKHURST RD",
            "address_2": "SUITE 105",
            "city": "FULLERTON",
            "state": "CA",
            "postal_code": "928334403",
            "telephone_number": "714-446-0708",
            "fax_number": "714-446-8708"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1401 S BROOKHURST RD",
            "address_2": "SUITE 105",
            "city": "FULLERTON",
            "state": "CA",
            "postal_code": "928334403",
            "telephone_number": "714-446-0708",
            "fax_number": "714-446-8708"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BIEN",
        "first_name": "RICHARD",
        "middle_name": "SOUNG",
        "credential": "P.T.,L.AC., PH.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-21",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "PT14242",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD PROVIDER NUMB",
            "identifier": "0PT142420",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ACUPUNCTURIST LICENSE",
            "identifier": "AC3739",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PT LICENSE",
            "identifier": "PT14242",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SOUNG",
            "last_name": "BIEN",
            "middle_name": "HO",
            "credential": "L.AC",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Fullerton, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.