Health Advantage Physical Medicine Inc

Primary specialty

Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X

Legal business name

HEALTH ADVANTAGE PHYSICAL MEDICINE INC

Practice address

1450 N Lake Ave
Pasadena, CA 91104-2301

Phone

(626) 798-7805

Fax

(626) 798-7800

NPI assigned

Dec 15, 2014

Organization subpart

No

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

Authorized official

Name

Mr. Johnny Kamon

Title

Case Manager

Phone

(626) 798-7805

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA2 enrollments

Enrollment records 2

Practitioners 10

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

• Alexis Caputo

  • Nurse Practitioner
  • San Gabriel, CA
  • NPI 1376307561
  Medicare reassignment Care Compare group NPD
• Amy Leone Michelena, FNP

  • Family Nurse Practitioner
  • Hacienda Heights, CA
  • NPI 1619629359
  Medicare reassignment Care Compare group NPD
• Dennis Robert Buckley, DC

  • Chiropractor
  • Whittier, CA
  • NPI 1043391485
  Medicare reassignment NPD
• Bart Drewniak, PT

  • Physical Therapist
  • Los Angeles, CA
  • NPI 1154594240
  Medicare reassignment NPD
• Miwa Yoshida, DC

  • Chiropractor
  • Whittier, CA
  • NPI 1871674218
  Medicare reassignment NPD
• Eric Chung, PA

  • Medical Physician Assistant
  • Corona, CA
  • NPI 1215303490
  Medicare reassignment
• Jiny Lee, DAOM

  • Acupuncturist
  • Pasadena, CA
  • NPI 1548726490
  NPD (past)
• Yuching Sie

  • Acupuncturist
  • Pomona, CA
  • NPI 1992537658
  NPD (past)
• Yiying Tang, DAIM/L.AC

  • Acupuncturist
  • San Gabriel, CA
  • NPI 1255822276
  NPD (past)
• Reina Yongxin Zhong

  • Acupuncturist
  • West Covina, CA
  • NPI 1184477648
  NPD (past)

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

{
    "created_epoch": "1418601600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1440028800000",
    "number": "1851799332",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1450 N LAKE AVE",
            "city": "PASADENA",
            "state": "CA",
            "postal_code": "911042301",
            "telephone_number": "626-798-7805",
            "fax_number": "626-798-7800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1450 N LAKE AVE",
            "city": "PASADENA",
            "state": "CA",
            "postal_code": "911042301",
            "telephone_number": "626-798-7805",
            "fax_number": "626-798-7800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEALTH ADVANTAGE PHYSICAL MEDICINE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-12-15",
        "last_updated": "2015-08-20",
        "status": "A",
        "authorized_official_last_name": "KAMON",
        "authorized_official_first_name": "JOHNNY",
        "authorized_official_title_or_position": "CASE MANAGER",
        "authorized_official_telephone_number": "626-798-7805",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Medicine & Rehabilitation",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Physical Medicine & Rehabilitation Physician in Pasadena, CA
• Providers in Pasadena, CA by specialty
• Physical Medicine & Rehabilitation Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 20, 2015; 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.