Aaron Tan San Juan

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

50443 Issued in CA

Practice address

11700 South St Ste 200
Artesia, CA 90701-6619

Phone

(562) 468-0088

Fax

(562) 683-3047

NPI assigned

Feb 14, 2020

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

State licenses

Practice roles

Locations

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.

• Ascend Physical Therapy and Wellness Services, Apc

  • Physical Therapist
  • Artesia, CA
  • NPI 1972134310
  NPD

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

{
    "created_epoch": "1581638400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1581638400000",
    "number": "1205469558",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11700 SOUTH ST STE 200",
            "city": "ARTESIA",
            "state": "CA",
            "postal_code": "907016619",
            "telephone_number": "562-468-0088"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11700 SOUTH ST STE 200",
            "city": "ARTESIA",
            "state": "CA",
            "postal_code": "907016619",
            "telephone_number": "562-468-0088",
            "fax_number": "562-683-3047"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SAN JUAN",
        "first_name": "AARON",
        "middle_name": "TAN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-02-14",
        "last_updated": "2020-02-14",
        "certification_date": "2020-02-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "CA",
            "license": "50443",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sage Herb & Acupuncture
• Sage M. Humphries, DDS., Ms., Inc.
• Sall Eye Research Medical Center
• Kenneth Neil Sall, MD
• Samuel R Maehara DDS Inc
• Joshualyn Sanchez
• Vianey Sanchez
• Darwin Santos, PT
• Roma Kristel Santos, PT
• Donnatila Dayao Sapiandante, D.C.

• Physical Therapy Assistant in Artesia, CA
• Providers in Artesia, 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 Feb 14, 2020; 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.