Individual provider Active NPI

Allan P. Dizon, MPT

  • Orthopedic Physical Therapist
  • Ontario, CA
National Provider Identifier
1023146461
Registry record updated Feb 12, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopedic Physical TherapistTaxonomy code 2251X0800X
License
PT23875 Issued in CA
Practice address
1950 S Mountain Ave
Ontario, CA 91762-6723
Phone
(909) 467-6183
Fax
(909) 983-5814
NPI assigned
Feb 28, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 12, 2012

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Geriatric Physical Therapist 2251G0304X PT23875 CA
Orthopedic Physical Therapist 2251X0800X PT23875 CA Primary

Addresses

Primary practice location

1950 S Mountain Ave
Ontario, CA 91762-6723

Mailing address

2661 Olympic View Dr
Chino Hills, CA 91709-1306
Phone (909) 636-8394

Other names 1

  • Mr. Allan P. Dizon Professional name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20041001000515 CA Practitioner - Physical Therapist in Private Practice 6204805682 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PT23875CAMDGeriatric Physical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
California Luna Care Physical Therapy PC Geriatrics CurrentSince Nov 23, 2022 Accepting new patients
Azon Inc Geriatrics Current Accepting new patients
Steven D Newton Physical Therapist Inc Past Accepting new patients

Locations

16185 Los Gatos Blvd
Ste 205
Los Gatos, CA 95032
Phone (408) 459-8108

990 E Del Mar Blvd
Pasadena, CA 91106
Phone (323) 578-6382

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1172620800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1329004800000",
    "number": "1023146461",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2661 OLYMPIC VIEW DR",
            "city": "CHINO HILLS",
            "state": "CA",
            "postal_code": "917091306",
            "telephone_number": "909-636-8394",
            "fax_number": "909-636-8394"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1950 S MOUNTAIN AVE",
            "city": "ONTARIO",
            "state": "CA",
            "postal_code": "917626723",
            "telephone_number": "909-467-6183",
            "fax_number": "909-983-5814"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DIZON",
        "first_name": "ALLAN",
        "middle_name": "P.",
        "name_prefix": "Mr.",
        "credential": "MPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-02-28",
        "last_updated": "2012-02-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2251G0304X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Geriatrics",
            "state": "CA",
            "license": "PT23875",
            "primary": false
        },
        {
            "code": "2251X0800X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Orthopedic",
            "state": "CA",
            "license": "PT23875",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ALLAN",
            "last_name": "DIZON",
            "middle_name": "P.",
            "prefix": "MR.",
            "credential": "MPT",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Ontario, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 12, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.