Active NPI
Sara Jajjo, PHYSICAL THERAPIST
- Physical Therapist
- La Mesa, CA
National Provider Identifier
1104365600
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 298384
- Practice address
- 5565 Grossmont Center Dr
Building 3, Suite 360
La Mesa, CA 91942 - Phone
- (619) 315-0035
- Fax
- (619) 315-0035
- NPI assigned
- Feb 16, 2017
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 5501018054 | MI | |
| Physical Therapist | 225100000X | 298384 | CA | Primary |
Addresses
Primary practice location
5565 Grossmont Center Dr
Building 3, Suite 360
La Mesa, CA 91942
Mailing address
5565 Grossmont Center Dr
Building 3, Suite 360
La Mesa, CA 91942
Phone (619) 315-0035
Other practice location 1
39885 Grand River Ave
Ste 300
Novi, MI 48375-2151
Phone (248) 615-0282
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Wayne State University School of Medicine, 2016
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
5565 Grossmont Ctr Dr
Suite 256
La Mesa, CA 91942-3098
Phone 6194623131232
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Organizations & group practices 1
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.
-
- Adult Reconstructive Orthopaedic Surgery Physician
- La Mesa, CA
- NPI 1306938139
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1487203200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1781481600000",
"number": "1104365600",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5565 GROSSMONT CENTER DR",
"address_2": "BUILDING 3, SUITE 360",
"city": "LA MESA",
"state": "CA",
"postal_code": "91942",
"telephone_number": "619-315-0035"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5565 GROSSMONT CENTER DR",
"address_2": "BUILDING 3, SUITE 360",
"city": "LA MESA",
"state": "CA",
"postal_code": "91942",
"telephone_number": "619-315-0035",
"fax_number": "619-315-0035"
}
],
"practiceLocations": [
{
"address_1": "39885 Grand River Ave",
"address_2": "Ste 300",
"address_purpose": "LOCATION",
"city": "Novi",
"state": "MI",
"postal_code": "483752151",
"country_code": "US",
"telephone_number": "248-615-0282",
"fax_number": "248-615-0415",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "JAJJO",
"first_name": "SARA",
"credential": "PHYSICAL THERAPIST",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-02-16",
"last_updated": "2026-06-15",
"certification_date": "2026-06-15",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "MI",
"license": "5501018054",
"primary": false
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "CA",
"license": "298384",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in La Mesa, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 15, 2026; 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.