John Sricharoon

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

52453 Issued in CA

Practice address

12930 Linn St
Yucaipa, CA 92399-4836

Phone

(310) 630-7357

NPI assigned

Oct 12, 2021

Sex

Male

Sole proprietor

No

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

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

{
    "created_epoch": "1633996800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1633996800000",
    "number": "1194487587",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12930 LINN ST",
            "city": "YUCAIPA",
            "state": "CA",
            "postal_code": "923994836",
            "telephone_number": "313-630-7357"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12930 LINN ST",
            "city": "YUCAIPA",
            "state": "CA",
            "postal_code": "923994836",
            "telephone_number": "310-630-7357"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SRICHAROON",
        "first_name": "JOHN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-10-12",
        "last_updated": "2021-10-12",
        "certification_date": "2021-10-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "CA",
            "license": "52453",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Southern California Emergency Medicine
• Southern California Hospice Care
• Dionne Southworth, M.A., ED. S.
• Jordan Keith Spady, DPT
• Doreen Spearman, PT
• Katherine Jeanne Stafford, NP
• Caitlin C Stanley
• Tigran Stepanyan, D.O.
• Stepien Seheult Consulting Inc
• Evan Paul Sternard

• Physical Therapy Assistant in Yucaipa, CA
• Providers in Yucaipa, 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 Oct 12, 2021; 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.