Individual provider Active NPI

Joseph Feran John Duran Apelo

  • Physical Therapy Assistant
  • Hawthorne, CA
National Provider Identifier
1578084471
Registry record updated Jun 29, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy AssistantTaxonomy code 225200000X
License
48609 Issued in CA
Practice address
13922 Cerise Ave
Hawthorne, CA 90250-8688
Phone
(310) 675-3304
NPI assigned
Jun 29, 2017
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 29, 2017

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Assistant 225200000X 48609 CA Primary

Addresses

Primary practice location

13922 Cerise Ave
Hawthorne, CA 90250-8688

Mailing address

13003 S Manhattan PL
Gardena, CA 90249-1906
Phone (310) 619-7104

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

LicenseStateTypeSpecialty
48609CAMDPhysical Therapy Assistant

NPI Registry JSON

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

{
    "created_epoch": "1498694400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1498694400000",
    "number": "1578084471",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13003 S MANHATTAN PL",
            "city": "GARDENA",
            "state": "CA",
            "postal_code": "902491906",
            "telephone_number": "310-619-7104"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13922 CERISE AVE",
            "city": "HAWTHORNE",
            "state": "CA",
            "postal_code": "902508688",
            "telephone_number": "310-675-3304"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "APELO",
        "first_name": "JOSEPH FERAN JOHN",
        "middle_name": "DURAN",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2017-06-29",
        "last_updated": "2017-06-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "CA",
            "license": "48609",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hawthorne, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 29, 2017; 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.