Jana L Vansurksum, P.T.

Primary specialty

Orthopedic Physical TherapistTaxonomy code 2251X0800X

License

PT21471 Issued in CA

Practice address

12 Mauchly Ste a
Irvine, CA 92618-2394

Phone

(949) 552-9100

Fax

(949) 552-9102

NPI assigned

Aug 31, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 1995

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Gardena Physical Therapy IncGroup PAC ID 6709129539, 6 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Gardena Physical Therapy Inc

  • Physical Therapist
  • Gardena, CA
  • NPI 1447727235
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1156982400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1665014400000",
    "number": "1710098595",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3 CALLE ROSADO",
            "city": "MISSION VIEJO",
            "state": "CA",
            "postal_code": "926925997",
            "telephone_number": "949-454-8366",
            "fax_number": "949-552-9102"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12 MAUCHLY STE A",
            "city": "IRVINE",
            "state": "CA",
            "postal_code": "926182394",
            "telephone_number": "949-552-9100",
            "fax_number": "949-552-9102"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VANSURKSUM",
        "first_name": "JANA",
        "middle_name": "L",
        "name_prefix": "Ms.",
        "credential": "P.T.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-31",
        "last_updated": "2022-10-06",
        "certification_date": "2022-10-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "PT21471",
            "primary": false
        },
        {
            "code": "2251X0800X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Orthopedic",
            "state": "CA",
            "license": "PT21471",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kennedy KWS-Txuj Vang
• Pady Vang, PA-C
• Mark Vanhouten, MD
• Vanila Choudhry DDS Inc
• Natasha Vanpatten
• Diana Alejandra Varela
• Susana Del Rocio Vargas Caracas, DOULA
• Adam Vargas Jr.
• Evelyn Vargas
• Hannah Faith Vargas

• Orthopedic Physical Therapist in Irvine, CA
• Providers in Irvine, CA by specialty
• Orthopedic Physical Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 6, 2022; 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.