Individual provider Active NPI

Cesar Payan, PTA

  • Physical Therapy Assistant
  • Victorville, CA
National Provider Identifier
1326982281
Registry record updated Apr 20, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy AssistantTaxonomy code 225200000X
License
54455 Issued in CA
Practice address
12948 Presidio PL
Victorville, CA 92394-3714
Phone
(626) 551-1537
Fax
(626) 551-1537
NPI assigned
Apr 20, 2026
Last updated
Apr 20, 2026By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 20, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Assistant 225200000X 54455 CA Primary

Addresses

Primary practice location

12948 Presidio PL
Victorville, CA 92394-3714

Mailing address

12948 Presidio PL
Victorville, CA 92394-3714
Phone (626) 551-1537

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

NPI Registry JSON

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

{
    "created_epoch": "1776643200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1776643200000",
    "number": "1326982281",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12948 PRESIDIO PL",
            "city": "VICTORVILLE",
            "state": "CA",
            "postal_code": "923943714",
            "telephone_number": "626-551-1537",
            "fax_number": "626-551-1537"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12948 PRESIDIO PL",
            "city": "VICTORVILLE",
            "state": "CA",
            "postal_code": "923943714",
            "telephone_number": "626-551-1537",
            "fax_number": "626-551-1537"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PAYAN",
        "first_name": "CESAR",
        "credential": "PTA",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2026-04-20",
        "last_updated": "2026-04-20",
        "certification_date": "2026-04-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "CA",
            "license": "54455",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Victorville, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 2026; 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.