Individual provider Active NPI

Chang-Yu John Hsieh, MS, PT, DC, CA

  • Physical Therapist
  • Alhambra, CA
National Provider Identifier
1881601748
Registry record updated Oct 9, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT10210 Issued in CA
Practice address
320 South Garfield Avenue
Suite 302
Alhambra, CA 91801-6816
Phone
(626) 300-8341
Fax
(626) 300-8767
NPI assigned
Aug 2, 2006
Last updated
Oct 9, 2011By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 9, 2011

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X DC19159 CA
Acupuncturist 171100000X AC3328 CA
Physical Therapist 225100000X PT10210 CA Primary

Addresses

Primary practice location

320 South Garfield Avenue
Suite 302
Alhambra, CA 91801-6816

Mailing address

320 South Garfield Avenue
Suite 302
Alhambra, CA 91801-6816
Phone (626) 300-8341

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20111230000227 CA Practitioner - Physical Therapist in Private Practice 5092614636 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
DC19159CAMDChiropractor
AC3328CAMDAcupuncturist
PT10210CAMDPhysical Therapist
19159CAMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
John Hsieh, Ms, PT, DC, Ca Chiropractor PastSince Jul 1, 2012 Accepting new patients

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1154476800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1318118400000",
    "number": "1881601748",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "320 SOUTH GARFIELD AVENUE",
            "address_2": "SUITE 302",
            "city": "ALHAMBRA",
            "state": "CA",
            "postal_code": "918016816",
            "telephone_number": "626-300-8341",
            "fax_number": "626-300-8767"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "320 SOUTH GARFIELD AVENUE",
            "address_2": "SUITE 302",
            "city": "ALHAMBRA",
            "state": "CA",
            "postal_code": "918016816",
            "telephone_number": "626-300-8341",
            "fax_number": "626-300-8767"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HSIEH",
        "first_name": "CHANG-YU",
        "middle_name": "JOHN",
        "name_prefix": "Dr.",
        "credential": "MS, PT, DC, CA",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-02",
        "last_updated": "2011-10-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "CA",
            "license": "DC19159",
            "primary": false
        },
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "CA",
            "license": "AC3328",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "PT10210",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Alhambra, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 9, 2011; 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.