Active NPI
James Donald Faison, PTA, ATC, CSCS
- Physical Therapy Assistant
- Walnut Creek, CA
National Provider Identifier
1295374502
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapy Assistant
- License
- 10180
- Practice address
- 1959 Desert Cir Apt 4
Walnut Creek, CA 94598-3243 - Phone
- (510) 292-8200
- NPI assigned
- Jan 3, 2020
- 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 Therapy Assistant | 225200000X | 10180 | CA | Primary |
Addresses
Primary practice location
1959 Desert Cir Apt 4
Walnut Creek, CA 94598-3243
Mailing address
1959 Desert Cir Apt 4
Walnut Creek, CA 94598-3243
Phone (510) 292-8200
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 |
|---|---|---|---|
| 10180 | CA | MD | Speech-Language Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1578009600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1578009600000",
"number": "1295374502",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1959 DESERT CIR APT 4",
"city": "WALNUT CREEK",
"state": "CA",
"postal_code": "945983243",
"telephone_number": "510-292-8200"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1959 DESERT CIR APT 4",
"city": "WALNUT CREEK",
"state": "CA",
"postal_code": "945983243",
"telephone_number": "510-292-8200"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FAISON",
"first_name": "JAMES",
"middle_name": "DONALD",
"credential": "PTA, ATC, CSCS",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2020-01-03",
"last_updated": "2020-01-03",
"certification_date": "2020-01-03",
"status": "A"
},
"taxonomies": [
{
"code": "225200000X",
"taxonomy_group": "",
"desc": "Physical Therapy Assistant",
"state": "CA",
"license": "10180",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Walnut Creek, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 3, 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.