Bong Su Jang, DPT
NPI 1255961850ActiveIndividual· Physical Therapist· San Clemente, CA
Physical Therapist (DPT) with California Luna Care Physical Therapy PC and 2 other groups, practicing in San Clemente, California. Medicare paid $59,040 for services to 83 patients in 2024.
Overview
| NPI | 1255961850 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | DPT |
| Sole proprietor | Yes |
| NPI issued | Jan 22, 2020 |
| Last updated in NPPES | Aug 8, 2022 |
| Certified by provider | Aug 8, 2022 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physical Therapist Primary | 225100000X | PT296936 | CA |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Physical Therapist in Private Practice (CA) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 83 |
|---|---|
| Services billed | 2,494 across 7 procedure codes |
| Paid by Medicare | $59,040 |
Education and affiliations
| Graduation year | 2019 |
|---|---|
| Medicare specialty | Physical Therapist In Private Practice |
Medical groups
- California Luna Care Physical Therapy PCLos Gatos, CA · 780 clinicians
- California Rehabilitation and Sports Therapy A California Physical theMission Viejo, CA · 188 clinicians
- Fairbanks and Power Physical Therapy CorpIrvine, CA · 59 clinicians
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All 73 physical therapists in San Clemente · All physical therapists in California