Active NPI
Jupiter Labasan
- Physical Therapist
- Bakersfield, CA
National Provider Identifier
1699136507
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 40587
- Practice address
- 1000 McDonald Way Apt 37
Bakersfield, CA 93309-3948 - Phone
- (575) 441-4887
- NPI assigned
- Mar 19, 2016
- Last updated
- Mar 19, 2016
- 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 | 40587 | CA | Primary |
Addresses
Primary practice location
1000 McDonald Way Apt 37
Bakersfield, CA 93309-3948
Mailing address
1000 McDonald Way Apt 37
Bakersfield, CA 93309-3948
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 |
|---|---|---|---|
| 40587 | CA | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Kinetica Physical Therapy Inc | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Physical Therapy Clinic/Center
- Bakersfield, CA
- NPI 1043672066
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1458345600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1458345600000",
"number": "1699136507",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1000 MCDONALD WAY APT 37",
"city": "BAKERSFIELD",
"state": "CA",
"postal_code": "933093948"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1000 MCDONALD WAY APT 37",
"city": "BAKERSFIELD",
"state": "CA",
"postal_code": "933093948",
"telephone_number": "575-441-4887"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LABASAN",
"first_name": "JUPITER",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2016-03-19",
"last_updated": "2016-03-19",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "CA",
"license": "40587",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Bakersfield, CA
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- La Laser Center PC, a Professional Medical Corporation
- La Laser Center PC, a Professional Medical Corporation (Dermatology & Skin Cancer of Bakersfield)
- Susan Hong La, DO
- Hany George Labib, M.D.
- Latanya Lablue
- Laboratory Corporation of America
- Laboratory Corporation of America
- Labwest, Inc
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 19, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.