Jayrod Delos Angeles

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

PTA49843 Issued in CA

Practice address

120 La Casa Via Ste 212
Walnut Creek, CA 94598-3007

Phone

(925) 939-8710

Fax

(925) 939-8716

NPI assigned

Dec 10, 2019

Last updated

Dec 11, 2019By 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

Other names 1

• Jay Rod De Los Angeles Other name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1575936000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1576022400000",
    "number": "1487291423",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "120 LA CASA VIA STE 212",
            "city": "WALNUT CREEK",
            "state": "CA",
            "postal_code": "945983007",
            "telephone_number": "925-939-8710",
            "fax_number": "925-939-8716"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "120 LA CASA VIA STE 212",
            "city": "WALNUT CREEK",
            "state": "CA",
            "postal_code": "945983007",
            "telephone_number": "925-939-8710",
            "fax_number": "925-939-8716"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DELOS ANGELES",
        "first_name": "JAYROD",
        "name_prefix": "Mr.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-12-10",
        "last_updated": "2019-12-11",
        "certification_date": "2019-12-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "CA",
            "license": "PTA49843",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JAY ROD",
            "last_name": "DE LOS ANGELES",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Emily Delgadillo
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• Rosemary Delgado
• Sarahi Delgado
• Monique Delisser, M.D.
• Delta Bay Pain Institute LLC
• David Robert Demartini, M.D.
• Gayle Dendaas, M.A. M.F.T. C.H.T.
• Donald John Dendinger, MPT
• Calvin H. Deng, MD

• Physical Therapy Assistant in Walnut Creek, CA
• Providers in Walnut Creek, 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 11, 2019; 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.