Individual provider Active NPI

Calvin Jiang

  • Physical Therapist
  • San Francisco, CA
National Provider Identifier
1801336854
Registry record updated Feb 24, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT292445 Issued in CA
Practice address
3129 Vicente St
San Francisco, CA 94116-2740
Phone
(415) 661-1057
NPI assigned
Feb 24, 2017
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 24, 2017

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 PT292445 CA Primary

Addresses

Primary practice location

3129 Vicente St
San Francisco, CA 94116-2740

Mailing address

1619 37TH Ave
San Francisco, CA 94122-3127

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20170731002164 CA Practitioner - Physical Therapist in Private Practice 5890066476 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Motion SF Physical Therapy IncGroup PAC ID 5597113357, 5 clinicians

Practice addresses (Care Compare)

1202 Vicente St
San Francisco, CA 94116-3044
Phone (415) 335-3992

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PT292445CAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Motion SF Physical Therapy Inc Physical Therapist CurrentSince Oct 1, 2023 Accepting new patients
Matoso-Tognetti, Inc. Physical Therapist CurrentSince May 8, 2017 Accepting new patients
MMT Physical Therapy Inc Physical Therapist Past Accepting new patients

Locations

1202 Vincente St
San Francisco, CA 94116
Phone (415) 335-3992

1810 Gateway Dr
Ste 110
San Mateo, CA 94404
Phone (650) 345-2739

Organizations & group practices 3

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": "1487894400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1487894400000",
    "number": "1801336854",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1619 37TH AVE",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941223127"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3129 VICENTE ST",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941162740",
            "telephone_number": "415-661-1057"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JIANG",
        "first_name": "CALVIN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-02-24",
        "last_updated": "2017-02-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "PT292445",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Francisco, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 24, 2017; 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.