Individual provider Active NPI

Jared Maranon, DPT

  • Physical Therapist
  • Livermore, CA
National Provider Identifier
1326844390
Registry record updated Feb 20, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
307630 Issued in CA
Practice address
87 Fenton St Ste 106
Livermore, CA 94550-4159
Phone
(925) 373-9394
NPI assigned
Feb 20, 2025
Last updated
Feb 20, 2025By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 20, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 307630 CA Primary

Addresses

Primary practice location

87 Fenton St Ste 106
Livermore, CA 94550-4159

Mailing address

87 Fenton St
Livermore, CA 94550-4100
Phone (925) 337-7961

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250411003287 CA Practitioner - Physical Therapist in Private Practice 2860916723 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2024
Medicare assignment
May accept Medicare assignment
Group practices
Select Cal Physical Therapy PCGroup PAC ID 4789070699, 162 clinicians

Practice addresses (Care Compare)

87 Fenton St
Suite 106
Livermore, CA 94550-4159
Phone (925) 373-9394

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Shasta Health Physical Therapy, P.C. Physical Therapist CurrentSince Aug 20, 2025 Accepting new patients
Select Cal Physical Therapy PC Physical Therapist Current Accepting new patients
Select Cal Physical Therapy PC Physical Therapist CurrentSince Feb 26, 2025 Accepting new patients
Select Cal Physical Therapy PC Physical Therapist CurrentSince Feb 26, 2025 Accepting new patients

Locations

1470 Civic Ct
Ste 320
Concord, CA 94520
Phone (925) 326-2211

87 Fenton St
Ste 106
Livermore, CA 94550
Phone (925) 373-9394

2261 Market St
San Francisco, CA 94114
Phone (213) 337-4615

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1740009600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1740009600000",
    "number": "1326844390",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "87 FENTON ST",
            "city": "LIVERMORE",
            "state": "CA",
            "postal_code": "945504100",
            "telephone_number": "925-337-7961"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "87 FENTON ST STE 106",
            "city": "LIVERMORE",
            "state": "CA",
            "postal_code": "945504159",
            "telephone_number": "925-373-9394"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARANON",
        "first_name": "JARED",
        "credential": "DPT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2025-02-20",
        "last_updated": "2025-02-20",
        "certification_date": "2025-02-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "307630",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Livermore, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 20, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.