Maurice Juwono, PTA

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

52053 Issued in CA

Practice address

25830 McBean Pkwy
Valencia, CA 91355-2004

Phone

(661) 259-2621

Fax

(661) 259-2651

NPI assigned

Jan 12, 2023

Last updated

Jan 12, 2023By the provider in NPPES

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

State licenses

Practice roles

Locations

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.

• Vargo Physical Therapy, Inc.

  • Physical Therapist
  • Santa Clarita, CA
  • NPI 1811910797
  NPD
• Vargo Physical Therapy, Inc

  • Physical Therapist
  • Valencia, CA
  • NPI 1952435166
  NPD (past)

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

{
    "created_epoch": "1673481600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1673481600000",
    "number": "1467166504",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25115 AVENUE STANFORD STE B135",
            "city": "VALENCIA",
            "state": "CA",
            "postal_code": "913551290",
            "telephone_number": "661-259-2621",
            "fax_number": "661-259-2651"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25830 MCBEAN PKWY",
            "city": "VALENCIA",
            "state": "CA",
            "postal_code": "913552004",
            "telephone_number": "661-259-2621",
            "fax_number": "661-259-2651"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JUWONO",
        "first_name": "MAURICE",
        "credential": "PTA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-01-12",
        "last_updated": "2023-01-12",
        "certification_date": "2023-01-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "CA",
            "license": "52053",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jun's Acupuncture, Inc.
• Soomin Jung, MD
• Chiara Juni
• Justin B. Heller,M.D., Inc (Heller Plastic Surgery)
• Justin Franson, DPM, a Professional Corporation
• Kafri Dental Corporation
• Kafri Dental Corporation
• Rayan Kafri, DMD
• Amy Diane Kaltenbach, AMFT
• Kelechi E Kalu

• Physical Therapy Assistant in Valencia, CA
• Providers in Valencia, 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 Jan 12, 2023; 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.