Active NPI
Jennifer Cedano, PT, DPT
- Physical Therapist
- Corona, CA
National Provider Identifier
1447648902
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 33314
- Practice address
- 2600 S Main St
Corona, CA 92882-5941 - Phone
- (951) 736-4700
- NPI assigned
- Jan 6, 2015
- Sex
- Female
- 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 Therapist | 225100000X | 33314 | CA | Primary |
Addresses
Primary practice location
2600 S Main St
Corona, CA 92882-5941
Mailing address
2600 S Main St
Corona, CA 92882-5941
Phone (951) 736-4700
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 |
|---|---|---|---|
| 33314 | CA | MD | Orthopedic Chiropractor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1420502400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1420502400000",
"number": "1447648902",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2600 S MAIN ST",
"city": "CORONA",
"state": "CA",
"postal_code": "928825941",
"telephone_number": "951-736-4700"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2600 S MAIN ST",
"city": "CORONA",
"state": "CA",
"postal_code": "928825941",
"telephone_number": "951-736-4700"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CEDANO",
"first_name": "JENNIFER",
"credential": "PT, DPT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2015-01-06",
"last_updated": "2015-01-06",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "CA",
"license": "33314",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Corona, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 6, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.