Active NPI
Alfredo Zara Ilagan Jr., P.T.
- Physical Therapist
- Tulare, CA
National Provider Identifier
1194078378
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 36502
- Practice address
- 1132 Martin Luther King Jr Ave Apt B
Tulare, CA 93274-5862 - Phone
- (626) 272-7220
- NPI assigned
- Oct 24, 2012
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 36502 | CA | Primary |
Addresses
Primary practice location
1132 Martin Luther King Jr Ave Apt B
Tulare, CA 93274-5862
Mailing address
1132 Martin Luther King Jr Ave Apt B
Tulare, CA 93274-5862
Phone (626) 272-7220
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 36502 | CA | MD | Registered Respiratory Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1351036800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1351036800000",
"number": "1194078378",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1132 MARTIN LUTHER KING JR AVE APT B",
"city": "TULARE",
"state": "CA",
"postal_code": "932745862",
"telephone_number": "626-272-7220"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1132 MARTIN LUTHER KING JR AVE APT B",
"city": "TULARE",
"state": "CA",
"postal_code": "932745862",
"telephone_number": "626-272-7220"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ILAGAN",
"first_name": "ALFREDO",
"middle_name": "ZARA",
"name_prefix": "Mr.",
"name_suffix": "Jr.",
"credential": "P.T.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2012-10-24",
"last_updated": "2012-10-24",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "CA",
"license": "36502",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Tulare, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 24, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.