Edward Fu
Physical Therapist in Costa Mesa, CA. Individual provider (NPI-1).
NPI number1760100267
StatusActive
Last updated in NPPESSep 4, 2025
Details
- NPI
- 1760100267
- Entity type
- Individual (NPI-1)
- Name
- Edward Fu
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Aug 19, 2022
- Certification date
- Sep 4, 2025
- Last updated
- Sep 4, 2025
Medicare and OIG
- Medicare enrolled (PECOS)
- Yes · PRACTITIONER - PHYSICAL THERAPIST IN PRIVATE PRACTICE
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 225100000X | Physical Therapist | 302562 | CA | Yes |
Practice location
1520 Nutmeg Pl Ste 111Costa Mesa, CA 92626-2557
Phone 714-979-3500 · Fax 714-979-9880
Mailing address
301 Industrial RdSan Carlos, CA 94070-2603
Phone 650-632-0816
Other practice locations
1250 N Bellflower Blvd
Long Beach, CA 90840-0004
Long Beach, CA 90840-0004
Phone 562-985-8286
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This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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