M.a.S. Performancephysio

Primary specialty

Sports Medicine (Preventive Medicine) PhysicianTaxonomy code 2083S0010X

Legal business name

M.A.S. PERFORMANCEPHYSIO

Practice address

2640 Whitney Dr
Alhambra, CA 91803-4429

Phone

(626) 260-5015

NPI assigned

Feb 8, 2021

Organization subpart

No

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

Authorized official

Name

Jeffrey SuNPI 1952899502

Title

President

Phone

(626) 260-5015

Specialties & licenses 4

Addresses

Other names 1

• M.A.S. Wellness Doing business as

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Practitioners 1

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

• Jeffrey Su, DPT

  • Sports Medicine (Physical Medicine & Rehabilitation) Physician
  • Alhambra, CA
  • NPI 1952899502

  Physical Therapist

  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1612742400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1612742400000",
    "number": "1821680174",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2640 WHITNEY DR",
            "city": "ALHAMBRA",
            "state": "CA",
            "postal_code": "918034429"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2640 WHITNEY DR",
            "city": "ALHAMBRA",
            "state": "CA",
            "postal_code": "918034429",
            "telephone_number": "626-260-5015"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "M.A.S. PERFORMANCEPHYSIO",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-02-08",
        "last_updated": "2021-02-08",
        "certification_date": "2021-02-08",
        "status": "A",
        "authorized_official_last_name": "SU",
        "authorized_official_first_name": "JEFFREY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "626-260-5015"
    },
    "taxonomies": [
        {
            "code": "2083S0010X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Preventive Medicine, Sports Medicine",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QR0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "M.A.S. Wellness",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Than Luu, MD
• Ching Ly
• Lorna Lynch
• M & M Thai Enterprises Inc
• M & T Adult Day Health Care Center, Inc.
• Elysia Ma
• Joycelyn Ma
• Michelle Joy Ma, D.D.S.
• Virginia Y Mac
• Crystal Mach, RN, NP-BC

• Sports Medicine (Preventive Medicine) Physician in Alhambra, CA
• Providers in Alhambra, CA by specialty
• Sports Medicine (Preventive Medicine) Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 8, 2021; 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.