Active NPI
Allan P. Dizon, MPT
- Orthopedic Physical Therapist
- Ontario, CA
National Provider Identifier
1023146461
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthopedic Physical Therapist
- License
- PT23875
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PT23875 | CA | MD | Geriatric Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| California Luna Care Physical Therapy PC | Geriatrics | Current | 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.
-
- Physical Therapy Clinic/Center
- Burbank, CA
- NPI 1245639764
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.