Organization Active NPI

Pegasus Physical Therapy Solutions, Inc.

  • Physical Therapy Clinic/Center
  • Laguna Hills, CA
National Provider Identifier
1780879437
Registry record updated May 30, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
License
PT24069 Issued in CA
Legal business name
PEGASUS PHYSICAL THERAPY SOLUTIONS, INC.
Practice address
23521 Paseo de Valencia
Suite 303
Laguna Hills, CA 92653-3107
Phone
(949) 206-9501
Fax
(949) 382-1441
NPI assigned
Sep 6, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 30, 2013

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

Authorized official

Name
Dr. Alan Jia Cheng, D.P.T.NPI 1417002742
Title
Ceo
Phone
(949) 206-9501

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Clinic/Center 261QP2000X PT24069 CA Primary

Addresses

Primary practice location

23521 Paseo de Valencia
Suite 303
Laguna Hills, CA 92653-3107

Mailing address

23521 Paseo de Valencia
Suite 303
Laguna Hills, CA 92653-3107
Phone (949) 206-9501

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20041118000711 CA Part B Supplier - Clinic/Group Practice 5395709356 Receives reassigned benefits from 3 practitioners
Practice locations: Laguna Hills, CA; Newport Beach, CA

National Provider Directory

National Provider Directory

Locations

300 N Euclid St
#B
Fullerton, CA 92832
Phone (714) 604-1001

13321 Garden Grove Blvd
Ste H
Garden Grove, CA 92843

1419 Superior Ave
Ste 4
Newport Beach, CA 92663
Phone (714) 604-1001

Practitioners & affiliated clinicians

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1189036800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1369872000000",
    "number": "1780879437",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23521 PASEO DE VALENCIA",
            "address_2": "SUITE 303",
            "city": "LAGUNA HILLS",
            "state": "CA",
            "postal_code": "926533107",
            "telephone_number": "949-206-9501",
            "fax_number": "949-382-1441"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23521 PASEO DE VALENCIA",
            "address_2": "SUITE 303",
            "city": "LAGUNA HILLS",
            "state": "CA",
            "postal_code": "926533107",
            "telephone_number": "949-206-9501",
            "fax_number": "949-382-1441"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PEGASUS PHYSICAL THERAPY SOLUTIONS, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-09-06",
        "last_updated": "2013-05-30",
        "status": "A",
        "authorized_official_last_name": "CHENG",
        "authorized_official_first_name": "ALAN",
        "authorized_official_middle_name": "JIA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "949-206-9501",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.P.T."
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "CA",
            "license": "PT24069",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Laguna Hills, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 30, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.