Jivaun Daley, PTA

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

54135 Issued in CA

Practice address

4300 Central Ave
Riverside, CA 92506-2918

Phone

(951) 222-2208

NPI assigned

Aug 13, 2025

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Central Occupational Medicine Providers - Ontario, a Medical Corporati

  • Occupational Medicine Clinic/Center
  • Ontario, CA
  • NPI 1669730321
  NPD (past)
• Central Occupational Medicine Providers Ontario Inc

  • Occupational Medicine Clinic/Center
  • Riverside, CA
  • NPI 1972861797
  NPD (past)

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

{
    "created_epoch": "1755043200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1755043200000",
    "number": "1124904222",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14243 HARVEST VALLEY AVE",
            "city": "EASTVALE",
            "state": "CA",
            "postal_code": "928809439",
            "telephone_number": "818-635-0080"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4300 CENTRAL AVE",
            "city": "RIVERSIDE",
            "state": "CA",
            "postal_code": "925062918",
            "telephone_number": "951-222-2208"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "59 S Milliken Ave Ste 100",
            "address_purpose": "LOCATION",
            "city": "Ontario",
            "state": "CA",
            "postal_code": "917617811",
            "country_code": "US",
            "telephone_number": "909-605-8888",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "PO Box 6",
            "address_purpose": "LOCATION",
            "city": "Corona",
            "state": "CA",
            "postal_code": "928780006",
            "country_code": "US",
            "telephone_number": "951-736-9500",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DALEY",
        "first_name": "JIVAUN",
        "credential": "PTA",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2025-08-13",
        "last_updated": "2025-08-13",
        "certification_date": "2025-08-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "CA",
            "license": "54135",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Daily Living Support Riverside LLC
• Erlys Ann Daily, RN
• Daisy Wu, DPM, Inc.
• Dale E. Stringer D.D.S., Inc.
• Kenneth M Dale, D.O
• Jenney Dalida, DDS
• Nicholas Dalida, DDS
• Romeo Yambot Dalisay, OTR
• Hope Elizabeth Dalrymple
• Vanessa Sue Dalton, RDN

• Physical Therapy Assistant in Riverside, CA
• Providers in Riverside, CA by specialty
• Physical Therapy Assistant in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 13, 2025; 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.