Individual provider Active NPI

Guillermo Delgado Casanada Jr., PT, DPT

  • Physical Therapist
  • El Cajon, CA
National Provider Identifier
1104375146
Registry record updated Oct 3, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
292121 Issued in CA
Practice address
353 E Park Ave
El Cajon, CA 92020-3988
Phone
(619) 334-4294
NPI assigned
Oct 3, 2016
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 3, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 292121 CA Primary

Addresses

Primary practice location

353 E Park Ave
El Cajon, CA 92020-3988

Mailing address

1319 Avenida Pantera
San Marcos, CA 92069-7389
Phone (760) 685-3186

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

NPI Registry JSON

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

{
    "created_epoch": "1475452800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1475452800000",
    "number": "1104375146",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1319 AVENIDA PANTERA",
            "city": "SAN MARCOS",
            "state": "CA",
            "postal_code": "920697389",
            "telephone_number": "760-685-3186"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "353 E PARK AVE",
            "city": "EL CAJON",
            "state": "CA",
            "postal_code": "920203988",
            "telephone_number": "619-334-4294"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CASANADA",
        "first_name": "GUILLERMO",
        "middle_name": "DELGADO",
        "name_suffix": "Jr.",
        "credential": "PT, DPT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2016-10-03",
        "last_updated": "2016-10-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "292121",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in El Cajon, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 3, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.