Active NPI
Jason Dalafu
- Physical Therapist
- Lemoore, CA
National Provider Identifier
1609351394
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 294472
- Practice address
- 755 N Lemoore Ave Ste C
Lemoore, CA 93245-2715 - Phone
- (559) 817-5808
- Fax
- (559) 423-5129
- NPI assigned
- Sep 27, 2018
- Last updated
- Sep 27, 2018
- Sex
- Male
- Sole proprietor
- No
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 | 294472 | CA | Primary |
Addresses
Primary practice location
755 N Lemoore Ave Ste C
Lemoore, CA 93245-2715
Mailing address
701 W Center Ave
Visalia, CA 93291-6015
Phone (559) 713-6806
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 |
|---|---|---|---|
| 294472 | CA | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1538006400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1538006400000",
"number": "1609351394",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "701 W CENTER AVE",
"city": "VISALIA",
"state": "CA",
"postal_code": "932916015",
"telephone_number": "559-713-6806",
"fax_number": "559-713-6809"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "755 N LEMOORE AVE STE C",
"city": "LEMOORE",
"state": "CA",
"postal_code": "932452715",
"telephone_number": "559-817-5808",
"fax_number": "559-423-5129"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DALAFU",
"first_name": "JASON",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2018-09-27",
"last_updated": "2018-09-27",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "CA",
"license": "294472",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Lemoore, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 27, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.