Active NPI
Phillip Dang, PT,DPT
- Physical Therapist
- Culver City, CA
National Provider Identifier
1740890763
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT298519
- Practice address
- 10190 Culver Blvd
Culver City, CA 90232-3152 - Phone
- (310) 837-9700
- Fax
- (310) 837-9701
- NPI assigned
- Aug 4, 2020
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | PT298519 | CA | Primary |
Addresses
Primary practice location
10190 Culver Blvd
Culver City, CA 90232-3152
Mailing address
10190 Culver Blvd
Culver City, CA 90232-3152
Phone (310) 837-9700
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PT298519 | CA | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1596499200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1596499200000",
"number": "1740890763",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10190 CULVER BLVD",
"city": "CULVER CITY",
"state": "CA",
"postal_code": "902323152",
"telephone_number": "310-837-9700",
"fax_number": "310-837-9701"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10190 CULVER BLVD",
"city": "CULVER CITY",
"state": "CA",
"postal_code": "902323152",
"telephone_number": "310-837-9700",
"fax_number": "310-837-9701"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DANG",
"first_name": "PHILLIP",
"credential": "PT,DPT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2020-08-04",
"last_updated": "2020-08-04",
"certification_date": "2020-08-04",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "CA",
"license": "PT298519",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Culver City, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 4, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.