BONG SU JANG DPT
NPI 1255961850
Physical Therapist in San Clemente, CA
About Bong Su Jang Dpt NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
BONG SU JANG DPT (NPI 1255961850) is an individual physical therapist in San Clemente, California, licensed in California (PT296936) and active in the NPI registry since January 2020. He is a graduate of Other (2019).
NPPES Registry Identity
Specialties & Licenses
- Diagnose and manage movement dysfunction and enhance physical and functional abilities.
- Restore, maintain, and promote not only optimal physical function but optimal wellness and fitness and optimal quality of life as it relates to movement and health.
- Prevent the onset, symptoms, and progression of impairments, functional limitations, and disabilities that may result from diseases, disorders, conditions, or injuries.
- Treat conditions of the musculoskeletal, neuromuscular, cardiovascular, pulmonary, and/or integumentary systems.
- Address the negative effects attributable to unique personal and environmental factors as they relate to human performance.
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Bong Su Jang Dpt is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.
Medicare Billing Reassignments
3Medicare enrollment records show Bong Su Jang reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
San Clemente, CA 92672
- Reassigned Medicare billing, California enrollment
- 286 clinicians in this Medicare group
Irvine, CA 92606
- Reassigned Medicare billing, California enrollment
- 25 clinicians in this Medicare group
Los Gatos, CA 95032
- Reassigned Medicare billing, California enrollment
- 1,388 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Areas of Expertise CMS Part B claims 6
Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 92672 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 3
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Bong Su Jang's NPI number?
The NPI number for Bong Su Jang is 1255961850. It was assigned to this individual provider in the NPPES registry on January 22, 2020.
Where is Bong Su Jang located?
Bong Su Jang practices at 415 E Avenida Pico Ste M, San Clemente, CA 92672. The listed phone number is (949) 245-6581.
What is Bong Su Jang's specialty?
The primary specialty registered for this NPI is Physical Therapist with taxonomy code 225100000X.
Is Bong Su Jang enrolled in Medicare?
Yes. Bong Su Jang is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
Which organizations bill Medicare for Bong Su Jang's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Bong Su Jang reassigns Medicare benefits to 3 organizations: California Rehabilitation & Sports Therapy A California Physical Ther (San Clemente, CA), Fairbanks & Power Physical Therapy Corp. (Irvine, CA) and California Luna Care Physical Therapy PC (Los Gatos, CA). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Bong Su Jang's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
When was this NPI record last updated?
The NPPES record for Bong Su Jang was last updated on August 8, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.