Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Jonathan Matthew Wong-Benavidez

Individual provider Physical Therapist · NPI 1053268540

Jonathan Matthew Wong-Benavidez is a Physical Therapist in Private Practice in Anaheim, California. Qualified in 2025, 1 year ago. Practices with California Rehabilitation and Sports Therapy a California Physical The, a 181-clinician group and accepts Medicare assignment. Licensed in California.

Years since qualifying
1
Licensed in
CA
In the registry since
2026
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Practice location Address checks out

2388 W Lincoln Ave
Anaheim, CA 92801-5101
Phone: (714) 780-0010
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence 309879 (CA)

Record details

NPI number1053268540
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedMarch 13, 2026
Last updated in NPPESMarch 13, 2026
Certification dateMarch 12, 2026

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2025 (1 years in practice)
Group practice California Rehabilitation And Sports Therapy A California Physical The — 181 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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