Individual provider Active NPI

Ping-Hsuan Chiao, DPT

  • Physical Therapist
  • South Pasadena, CA
National Provider Identifier
1780297663
Registry record updated Oct 13, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT298943 Issued in CA
Practice address
1824 Wayne Ave
South Pasadena, CA 91030-4937
Phone
(626) 375-1327
NPI assigned
Aug 28, 2020
Last updated
Oct 13, 2020By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 13, 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 PT298943 CA Primary

Addresses

Primary practice location

1824 Wayne Ave
South Pasadena, CA 91030-4937

Mailing address

3030 Sawtelle Blvd
Los Angeles, CA 90066-1408
Phone (310) 390-9018

Other names 1

  • Daphne Chiao Other name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20201110000577 CA Practitioner - Physical Therapist in Private Practice 5890105423 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Health Atlast West la IncGroup PAC ID 7719100478, 8 clinicians
Newmed Health Center IncGroup PAC ID 8921328485, 3 clinicians

Practice addresses (Care Compare)

3030 Sawtelle Blvd
Los Angeles, CA 90066-1408
Phone (310) 390-9018

3925 Rosemead Blvd
Rosemead, CA 91770-1933
Phone (626) 288-1368

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PT298943CAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Health Atlast West la Physical Medicine & Rehabilitation CurrentSince Oct 6, 2020 Accepting new patients
Pacific Integrative Medical Center, Inc CurrentSince Oct 6, 2020 Accepting new patients
Americare Medical Center, Inc Past Accepting new patients

Locations

3030 Sawtelle Blvd
Los Angeles, CA 90066
Phone (310) 390-9018

2428 Santa Monica Blvd
Ste 308
Santa Monica, CA 90404
Phone (310) 453-8389

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

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": "1598572800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1602547200000",
    "number": "1780297663",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3030 SAWTELLE BLVD",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900661408",
            "telephone_number": "310-390-9018",
            "fax_number": "310-390-0868"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1824 WAYNE AVE",
            "city": "SOUTH PASADENA",
            "state": "CA",
            "postal_code": "910304937",
            "telephone_number": "626-375-1327"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHIAO",
        "first_name": "PING-HSUAN",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-08-28",
        "last_updated": "2020-10-13",
        "certification_date": "2020-10-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "PT298943",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "DAPHNE",
            "last_name": "CHIAO",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in South Pasadena, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 13, 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.