Gregory Pon
Gregory Pon is a Physical Therapist in Private Practice in Livermore, California. Qualified in 2015, 11 years ago. Practices with Permanente Medical Group Inc, a 10,941-clinician group and accepts Medicare assignment. Licensed in California.
- Years since qualifying
- 11
- Licensed in
- CA
- In the registry since
- 2016
Practice location Address checks out
87 Fenton St Ste 106Livermore, CA 94550
Phone: (925) 373-9394
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Orthopedic Physical Therapist (primary) | Taxonomy 2251X0800X · Licence 43360 (CA) |
|---|
Record details
| NPI number | 1689030173 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | Yes |
| NPI enumerated | January 13, 2016 |
| Last updated in NPPES | October 25, 2022 |
| Certification date | October 25, 2022 |
| Mailing address | 87 Fenton Street Suite 106, Livermore, CA 94550 |
Medicare enrollment
| Medicare specialty | PHYSICAL THERAPIST IN PRIVATE PRACTICE |
|---|---|
| Medical school | OTHER |
| Graduated | 2015 (11 years in practice) |
| Group practice | Permanente Medical Group Inc — 10941 clinicians |
| Accepts Medicare assignment | Yes — accepts the Medicare-approved amount |