Individual provider Active NPI

Jason Yonemoto, MPT

  • Physical Therapist
  • La Verne, CA
National Provider Identifier
1740225739
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT28246 Issued in CA
Practice address
1275 Foothill Blvd
La Verne, CA 91750
Phone
(909) 593-1200
Fax
(909) 593-1899
NPI assigned
Jun 17, 2006
Last updated
Jul 13, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X PT28246 CA Primary

Addresses

Primary practice location

1275 Foothill Blvd
La Verne, CA 91750

Mailing address

671 Naomi Ave
Arcadia, CA 91007
Phone (626) 446-7027

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20090831000242 CA Practitioner - Physical Therapist in Private Practice 7012062888 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Huntington Orthopedic Surgical GroupGroup PAC ID 8224026596, 18 clinicians

Practice addresses (Care Compare)

39 Congress St
Suite 200
Pasadena, CA 91105-3024
Phone (626) 795-0282

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
28246CAMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Huntington Orthopedic Surgical Group CurrentSince Jun 21, 2021 Accepting new patients
Fortanasce & Associates Sports Medicine and Physical Therapy Past Accepting new patients
Goodwill Industries of Orange County, California Physical Therapist Past Accepting new patients
Goodwill Industries of Orange County, California Physical Therapist Past Accepting new patients

Locations

39 Congress St
Ste 200
Pasadena, CA 91105
Phone (626) 795-0282

837 S Fair Oaks Ave
Ste 204
Pasadena, CA 91105
Phone (626) 627-2141

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1150502400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1740225739",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "671 NAOMI AVE",
            "city": "ARCADIA",
            "state": "CA",
            "postal_code": "91007",
            "telephone_number": "626-446-7027",
            "fax_number": "626-446-4723"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1275 FOOTHILL BLVD",
            "city": "LA VERNE",
            "state": "CA",
            "postal_code": "91750",
            "telephone_number": "909-593-1200",
            "fax_number": "909-593-1899"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YONEMOTO",
        "first_name": "JASON",
        "credential": "MPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-17",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "PT28246",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in La Verne, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.