Organization Active NPI

Prosperous Corp of America

  • Physical Therapist
  • Torrance, CA
National Provider Identifier
1669519138
Registry record updated Jul 9, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT17897 Issued in CA
Legal business name
PROSPEROUS CORP OF AMERICA
Practice address
23832 Crenshaw Blvd
Torrance, CA 90505-5209
Phone
(310) 326-4070
NPI assigned
Jan 31, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 9, 2015

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

Authorized official

Name
Andy X XuNPI 1033124466
Title
President
Phone
(310) 326-4070

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 225100000X PT17897 CA Primary

Addresses

Primary practice location

23832 Crenshaw Blvd
Torrance, CA 90505-5209

Mailing address

23832 Crenshaw Blvd
Torrance, CA 90505-5209

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20070410000560 CA Part B Supplier - Clinic/Group Practice 9537264171 Receives reassigned benefits from 1 practitioner
Practice locations: Lomita, CA

National Provider Directory

National Provider Directory

Locations

25636 Narbonne Ave
Ste B
Lomita, CA 90717
Phone (310) 326-4070

23832 Crenshaw Blvd
Torrance, CA 90505
Phone (310) 326-4070

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1170201600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1436400000000",
    "number": "1669519138",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23832 CRENSHAW BLVD",
            "city": "TORRANCE",
            "state": "CA",
            "postal_code": "905055209"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23832 CRENSHAW BLVD",
            "city": "TORRANCE",
            "state": "CA",
            "postal_code": "905055209",
            "telephone_number": "310-326-4070"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PROSPEROUS CORP OF AMERICA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-31",
        "last_updated": "2015-07-09",
        "status": "A",
        "authorized_official_last_name": "XU",
        "authorized_official_first_name": "ANDY",
        "authorized_official_middle_name": "X",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "310-326-4070"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "PT17897",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Torrance, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2015; 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.

Verify at the official NPI Registry.