Individual provider Active NPI

Chung Oh

  • Physical Therapist
  • Newport Beach, CA
National Provider Identifier
1962089342
Registry record updated Mar 24, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
299942 Issued in CA
Practice address
441 Old Newport Blvd
Newport Beach, CA 92663-4233
Phone
(949) 491-9991
NPI assigned
Mar 24, 2021
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 24, 2021

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 299942 CA Primary

Addresses

Primary practice location

441 Old Newport Blvd
Newport Beach, CA 92663-4233

Mailing address

13682 Chestnut St
Westminster, CA 92683-2630
Phone (808) 253-1221

Other names 1

  • Chung Min Oh Other name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210810000718 CA Practitioner - Physical Therapist in Private Practice 1254735483 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Newport Care Medical Group IncGroup PAC ID 6901033521, 20 clinicians

Practice addresses (Care Compare)

1041 E Yorba Linda Blvd
Suite 306
Placentia, CA 92870-3751
Phone (949) 491-9991

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
299942CAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Newport Care Medical Group, Inc Physical Therapist CurrentSince Apr 2, 2021 Accepting new patients
Newport Care Medical Group Inc CurrentSince Apr 2, 2021 Accepting new patients
Medcompounders Pharmacy Inc Past Accepting new patients

Locations

3711 Long Beach Blvd
Ste 804
Long Beach, CA 90807

3711 Long Beach Blvd
Ste 808
Long Beach, CA 90807
Phone (562) 427-1999

4281 Katella Ave
Ste 222
Los Alamitos, CA 90720

40700 California Oaks Rd
Ste 205
Murrieta, CA 92562
Phone (951) 304-3180

441 Old Newport Blvd
Newport Beach, CA 92663
Phone (714) 309-9270

2617 E Chapman Ave
Ste 110
Orange, CA 92869
Phone (714) 633-0011

1041 E Yorba Linda Blvd
Ste 306
Placentia, CA 92870
Phone (714) 577-9500

3660 Park Sierra Dr
Ste 101
Riverside, CA 92505
Phone (877) 357-4777

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": "1616544000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1616544000000",
    "number": "1962089342",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13682 CHESTNUT ST",
            "city": "WESTMINSTER",
            "state": "CA",
            "postal_code": "926832630",
            "telephone_number": "808-253-1221"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "441 OLD NEWPORT BLVD",
            "city": "NEWPORT BEACH",
            "state": "CA",
            "postal_code": "926634233",
            "telephone_number": "949-491-9991"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OH",
        "first_name": "CHUNG",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-03-24",
        "last_updated": "2021-03-24",
        "certification_date": "2021-03-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "299942",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CHUNG MIN",
            "last_name": "OH",
            "credential": "PT, DPT",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Newport Beach, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 24, 2021; 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.