Individual provider Active NPI

Jirael Francis Hipol, DPT

  • Orthopedic Physical Therapist
  • San Diego, CA
National Provider Identifier
1053024489
Registry record updated Dec 30, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopedic Physical TherapistTaxonomy code 2251X0800X
License
303014 Issued in CA
Practice address
7485 Mission Valley Rd Ste 104a
San Diego, CA 92108-4422
Phone
(408) 893-1827
NPI assigned
Dec 30, 2022
Last updated
Dec 30, 2022By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 30, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopedic Physical Therapist 2251X0800X 303014 CA Primary

Addresses

Primary practice location

7485 Mission Valley Rd Ste 104a
San Diego, CA 92108-4422

Mailing address

2252 Vista Verde Dr
San Jose, CA 95148-1630
Phone (408) 893-1827

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230203002272 CA Practitioner - Physical Therapist in Private Practice 6305218132 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
University of California, San Francisco School of Medicine, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

7485 Mission Valley Rd
Suite 104a
San Diego, CA 92108-4422
Phone (619) 291-8930

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
303014CAMDOrthopedic Physical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
California Orthopaedic Institute Medical Associates, Inc CurrentSince Jan 7, 2023 Accepting new patients
California Orthopaedic Institute Medical Associates, Inc. CurrentSince Jan 7, 2023 Accepting new patients

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Organizations & group practices 2

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

NPI Registry JSON

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

{
    "created_epoch": "1672358400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1672358400000",
    "number": "1053024489",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2252 VISTA VERDE DR",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951481630",
            "telephone_number": "408-893-1827"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7485 MISSION VALLEY RD STE 104A",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921084422",
            "telephone_number": "408-893-1827"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HIPOL",
        "first_name": "JIRAEL",
        "middle_name": "FRANCIS",
        "name_prefix": "Dr.",
        "credential": "DPT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2022-12-30",
        "last_updated": "2022-12-30",
        "certification_date": "2022-12-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2251X0800X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Orthopedic",
            "state": "CA",
            "license": "303014",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Diego, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 30, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.