Active NPI
Joselito Rizaldo Babaran Iringan, LPT
- Physical Therapist
- Elk Grove, CA
National Provider Identifier
1417251349
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 114450
- Practice address
- 9723 Collie Way
Elk Grove, CA 95757-6223 - Phone
- (573) 718-0014
- NPI assigned
- Jan 6, 2011
- Last updated
- Jan 6, 2011
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 37212 | CA | |
| Physical Therapist | 225100000X | 114450 | MO | Primary |
Addresses
Primary practice location
9723 Collie Way
Elk Grove, CA 95757-6223
Mailing address
9723 Collie Way
Elk Grove, CA 95757-6223
Phone (573) 718-0014
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PT37212 | CA | MD | Licensed Psychiatric Technician |
| 37212 | CA | MD | Physical Therapist |
| 114450 | MO | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Regents of the Univ of Ca | Past | Accepting new patients |
Organizations & group practices 1
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.
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- NPI 1437142692
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1294272000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1294272000000",
"number": "1417251349",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9723 COLLIE WAY",
"city": "ELK GROVE",
"state": "CA",
"postal_code": "957576223",
"telephone_number": "573-718-0014"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9723 COLLIE WAY",
"city": "ELK GROVE",
"state": "CA",
"postal_code": "957576223",
"telephone_number": "573-718-0014"
}
],
"practiceLocations": [],
"basic": {
"last_name": "IRINGAN",
"first_name": "JOSELITO RIZALDO",
"middle_name": "BABARAN",
"credential": "LPT",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2011-01-06",
"last_updated": "2011-01-06",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "CA",
"license": "37212",
"primary": false
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "MO",
"license": "114450",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Elk Grove, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 6, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.