Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

JASON BANH DUONG
NPI 1265280481
Physical Therapist in Los Angeles, CA

Active since May 13, 2024
1109 N EL CENTRO AVE, LOS ANGELES, CA 90038(626) 975-6690 Get Directions Write a Review

NPPES record last updated: October 12, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Oct 12, 2026, May 13, 2024 (2 updates tracked since 2024).

About Jason Banh Duong NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JASON BANH DUONG (NPI 1265280481) is an individual physical therapist in Los Angeles, California, licensed in California (PT305343) and active in the NPI registry since May 2024. He is a graduate of Other (2023).

NPPES Registry Identity

NPI1265280481
Entity TypeIndividualMale
Primary Taxonomy225100000X
Provider Legal NameJASON BANH DUONG
Location Address1109 N EL CENTRO AVELos Angeles, CA 90038-2805
Mailing Address1917 Graylock AveMonterey Park, CA 91754-5512 · (626) 975-6690
Sole ProprietorYes
Medical School CMSOtherGraduated 2023
Enumeration DateMay 13, 2024
Last NPPES UpdateOctober 12, 20262 updates tracked since enumeration
NPPES CertifiedOctober 12, 2026
✔ NPI 1265280481 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Taxonomy Code225100000X
License✔ Licensed in CA · PT305343
Definition
Physical therapists (PTs) are licensed health care professionals who diagnose and treat individuals of all ages, from newborns to the very oldest, who have medical problems or other health-related conditions that limit their abilities to move and perform functional activities in their daily lives. PTs examine each individual and develop a plan using treatment techniques to promote the ability to move, reduce pain, restore function, and prevent disability. In addition, PTs work with individuals to prevent the loss of mobility before it occurs by developing fitness- and wellness-oriented programs for healthier and more active lifestyles. PTs:
  • 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.
PTs provide care for people in a variety of settings, including hospitals, private practices, outpatient clinics, home health agencies, schools, sports and fitness facilities, work settings, and nursing homes. State licensure is required in each state in which a PT practices.
1109 N EL CENTRO AVE, Los Angeles, CA 90038

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Jason Banh Duong is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID2668907908
PECOS Enrollment IDI20241125000580

Medicare Billing Reassignments

2

Medicare enrollment records show Jason Duong reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Physical Therapist
11825 MAJOR ST, PENTHOUSE SUITE
Culver City, CA 90230
  • Reassigned Medicare billing, California enrollment
  • 109 clinicians in this Medicare group
Physical Therapist
16185 LOS GATOS BLVD STE 205
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.

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Physical Therapist
1109 N EL CENTRO AVE
LOS ANGELES, CA 90038

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 Jason Duong's NPI number?

The NPI number for Jason Duong is 1265280481. It was assigned to this individual provider in the NPPES registry on May 13, 2024.

Where is Jason Duong located?

Jason Duong practices at 1109 N El Centro Ave, Los Angeles, CA 90038. The listed phone number is (626) 975-6690.

What is Jason Duong's specialty?

The primary specialty registered for this NPI is Physical Therapist with taxonomy code 225100000X.

Is Jason Duong enrolled in Medicare?

Yes. Jason Duong is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Jason Duong's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Jason Duong reassigns Medicare benefits to 2 organizations: Evolution Physical Therapy, Inc (Culver City, 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 Jason Duong'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 Jason Duong was last updated on October 12, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 22 days 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.