Aurealius Valencino Fleeton I, PTA

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

9407 Issued in CA

Practice address

7323 Washington PL
Rancho Cucamonga, CA 91730-8288

Phone

(909) 476-0101

NPI assigned

Dec 10, 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

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

{
    "created_epoch": "1607558400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1607558400000",
    "number": "1376149674",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7323 WASHINGTON PL",
            "city": "RANCHO CUCAMONGA",
            "state": "CA",
            "postal_code": "917308288",
            "telephone_number": "909-476-0101"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7323 WASHINGTON PL",
            "city": "RANCHO CUCAMONGA",
            "state": "CA",
            "postal_code": "917308288",
            "telephone_number": "909-476-0101"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FLEETON",
        "first_name": "AUREALIUS",
        "middle_name": "VALENCINO",
        "name_prefix": "Mr.",
        "name_suffix": "I",
        "credential": "PTA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-12-10",
        "last_updated": "2020-12-10",
        "certification_date": "2020-12-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "CA",
            "license": "9407",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Brooke A Fisher
• Kelle Fiske, ATC
• Genesis Caitlyn Fitzgerald
• Kimberly Sue Fitzsimmons, MFT INTERN
• Lena Flair
• Alexander Fleischer
• Jamir Fletcher
• Mya Fletcher
• Flex Medical Supplies and Specialties Services Inc
• Raine Dominique Infante Flora

• Physical Therapy Assistant in Rancho Cucamonga, CA
• Providers in Rancho Cucamonga, 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 Dec 10, 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.