Active NPI
Julie Bao Vinh, PT, DPT
- Physical Therapist
- Pasadena, CA
National Provider Identifier
1861089997
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 299448
- Practice address
- 630 S Raymond Ave Unit 120
Pasadena, CA 91105-3283 - Phone
- (626) 397-3801
- NPI assigned
- Dec 22, 2020
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 299448 | CA | Primary |
Addresses
Primary practice location
630 S Raymond Ave Unit 120
Pasadena, CA 91105-3283
Mailing address
P.O. Box 11788
Westminster, CA 92685
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1608595200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1609977600000",
"number": "1861089997",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "P.O. BOX 11788",
"city": "WESTMINSTER",
"state": "CA",
"postal_code": "92685"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "630 S RAYMOND AVE UNIT 120",
"city": "PASADENA",
"state": "CA",
"postal_code": "911053283",
"telephone_number": "626-397-3801"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VINH",
"first_name": "JULIE",
"middle_name": "BAO",
"name_prefix": "Dr.",
"credential": "PT, DPT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2020-12-22",
"last_updated": "2021-01-07",
"certification_date": "2021-01-07",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Physical Therapist",
"state": "CA",
"license": "299448",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Pasadena, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 7, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.