Individual provider Active NPI

Joseph T. Chan, PT, L. AC.

  • Acupuncturist
  • Torrance, CA
National Provider Identifier
1760534812
Registry record updated Sep 24, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
License
AC1464 Issued in CA
Practice address
21203 Hawthorne Blvd Ste B
Torrance, CA 90503-5520
Phone
(310) 316-2368
Fax
(310) 316-9388
NPI assigned
Jan 17, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 24, 2012

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Acupuncturist 171100000X AC1464 CA Primary
Physical Therapist 225100000X PT9808 CA

Addresses

Primary practice location

21203 Hawthorne Blvd Ste B
Torrance, CA 90503-5520

Mailing address

PO Box 13186
Torrance, CA 90503-0186
Phone (310) 364-3988

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

LicenseStateTypeSpecialty
AC1464CAMDAcupuncturist
PT9808CAMDPhysical Therapist
9808CAMDSpeech-Language Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Joseph Chan Physical Therapy PastSince Jan 1, 1990 Accepting new patients
Pacific Sports Pain Orthopedic Rehabilitation Therapy Specialists PastSince Jan 1, 1990 Accepting new patients

Organizations & group practices 2

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": "1168992000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1348444800000",
    "number": "1760534812",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 13186",
            "city": "TORRANCE",
            "state": "CA",
            "postal_code": "905030186",
            "telephone_number": "310-364-3988",
            "fax_number": "310-316-9388"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21203 HAWTHORNE BLVD STE B",
            "city": "TORRANCE",
            "state": "CA",
            "postal_code": "905035520",
            "telephone_number": "310-316-2368",
            "fax_number": "310-316-9388"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHAN",
        "first_name": "JOSEPH",
        "middle_name": "T.",
        "credential": "PT,  L. AC.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-01-17",
        "last_updated": "2012-09-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "CA",
            "license": "AC1464",
            "primary": true
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "PT9808",
            "primary": false
        }
    ],
    "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 Sep 24, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.