Individual provider Active NPI

Abdy Gene Lang

  • Physical Therapist
  • Granada Hills, CA
National Provider Identifier
1679343172
Registry record updated Jan 5, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
305432 Issued in CA
Practice address
10515 Balboa Blvd Ste 140
Granada Hills, CA 91344-6350
Phone
(181) 836-3033
NPI assigned
Jan 5, 2024
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 5, 2024

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 305432 CA Primary

Addresses

Primary practice location

10515 Balboa Blvd Ste 140
Granada Hills, CA 91344-6350

Mailing address

1540 Alcazar St Ste 155
Los Angeles, CA 90089-1029
Phone (323) 442-2900

Other practice location 1

11710 Wilshire Blvd
Los Angeles, CA 90025-1503
Phone (310) 477-7276

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240304001488 CA Practitioner - Physical Therapist in Private Practice 2062857782 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
University of Southern California Keck School of Medicine, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Studio Brava Physical Therapy, Inc.Group PAC ID 1850554429, 3 clinicians
Lotus Physical Therapy IncGroup PAC ID 4486557816, 2 clinicians
Samimi Orthopedic Group IncGroup PAC ID 0547208746, 9 clinicians

Practice addresses (Care Compare)

11110 Ohio Ave
Suite 105
Los Angeles, CA 90025-6345
Phone (323) 327-2332

11710 Wilshire Blvd
Los Angeles, CA 90025-1503
Phone (310) 494-1422

970 S Village Oaks Dr
Suite 100
Covina, CA 91724-3626
Phone (800) 974-5633

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Lotus Physical Therapy Inc Physical Therapist CurrentSince May 27, 2024 Accepting new patients
Studio Brava Physical Therapy, Inc. Physical Therapist CurrentSince Jan 15, 2026 Accepting new patients
Navy Physical Therapy P.C. Physical Therapist CurrentSince Jan 20, 2024 Accepting new patients

Locations

11710 Wilshire Blvd
Los Angeles, CA 90025
Phone (310) 494-1422

11110 Ohio Ave
Ste 105
Los Angeles, CA 90025
Phone (310) 775-1609

3292 E Willow St
Signal Hill, CA 90755
Phone (562) 427-2225

14600 Sherman Way
Ste 300
Van Nuys, CA 91405
Phone (818) 208-7138

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1704412800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1704412800000",
    "number": "1679343172",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1540 ALCAZAR ST STE 155",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900891029",
            "telephone_number": "323-442-2900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10515 BALBOA BLVD STE 140",
            "city": "GRANADA HILLS",
            "state": "CA",
            "postal_code": "913446350",
            "telephone_number": "181-836-3033"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "11710 Wilshire Blvd",
            "address_purpose": "LOCATION",
            "city": "Los Angeles",
            "state": "CA",
            "postal_code": "900251503",
            "country_code": "US",
            "telephone_number": "310-477-7276",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LANG",
        "first_name": "ABDY",
        "middle_name": "GENE",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2024-01-05",
        "last_updated": "2024-01-05",
        "certification_date": "2024-01-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "305432",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Granada Hills, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 5, 2024; 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.