Individual provider Active NPI

Quan Ngo, P.T.

  • Physical Therapist
  • Whittier, CA
National Provider Identifier
1750321899
Registry record updated Feb 19, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Practice address
16405 Whittier Blvd
Attention Jody Lane
Whittier, CA 90603-3044
Phone
(562) 501-2200
Fax
(562) 501-2206
NPI assigned
Jun 7, 2006
Last updated
Feb 19, 2020By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 19, 2020

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 NU Primary

Addresses

Primary practice location

16405 Whittier Blvd
Attention Jody Lane
Whittier, CA 90603-3044

Mailing address

1501 E Orangethorpe Ave
Ste 180
Fullerton, CA 92831-5205
Phone (714) 823-4400

Other identifiers 1

IdentifierTypeStateIssuer
PT22690OtherCAPT LICENSE

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20060220000172 CA Practitioner - Physical Therapist in Private Practice 8729093323 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

10000 Lakewood Blvd
Downey, CA 90240-4020
Phone (562) 862-7950

11149 1St Ave
Whittier, CA 90603-3110
Phone (562) 501-2200

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Nifty After Fifty Physical Therapist PastSince Apr 1, 2007 Accepting new patients
Caremore Medical Group Inc Past Accepting new patients
Caremore Medical Group Past Accepting new patients
Naf Physical Therapy Inc Physical Therapist PastSince Feb 23, 2020 Accepting new patients

Interoperability endpoints

  • Direct secure messaging: quan.ngo.p1@direct.caremorewest.nextgenshare.com

Organizations & group practices 5

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": "1149638400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1582070400000",
    "number": "1750321899",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1501 E ORANGETHORPE AVE",
            "address_2": "STE 180",
            "city": "FULLERTON",
            "state": "CA",
            "postal_code": "928315205",
            "telephone_number": "714-823-4400",
            "fax_number": "714-823-4404"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16405 WHITTIER BLVD",
            "address_2": "ATTENTION JODY LANE",
            "city": "WHITTIER",
            "state": "CA",
            "postal_code": "906033044",
            "telephone_number": "562-501-2200",
            "fax_number": "562-501-2206"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NGO",
        "first_name": "QUAN",
        "name_prefix": "Mr.",
        "credential": "P.T.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-07",
        "last_updated": "2020-02-19",
        "certification_date": "2020-02-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PT LICENSE",
            "identifier": "PT22690",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Whittier, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 19, 2020; 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.