Individual provider Active NPI

Jose Joven Pineda Descanzo, PTA

  • Physical Therapy Assistant
  • Milpitas, CA
National Provider Identifier
1750626859
Registry record updated Dec 1, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy AssistantTaxonomy code 225200000X
License
9089 Issued in CA
Practice address
1450 N Hillview Dr
Milpitas, CA 95035-3328
Phone
(408) 823-0920
NPI assigned
Dec 1, 2012
Last updated
Dec 1, 2012By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 1, 2012

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 9089 CA Primary

Addresses

Primary practice location

1450 N Hillview Dr
Milpitas, CA 95035-3328

Mailing address

1450 N Hillview Dr
Milpitas, CA 95035-3328
Phone (408) 823-0920

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

NPI Registry JSON

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

{
    "created_epoch": "1354320000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1354320000000",
    "number": "1750626859",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1450 N HILLVIEW DR",
            "city": "MILPITAS",
            "state": "CA",
            "postal_code": "950353328",
            "telephone_number": "408-823-0920"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1450 N HILLVIEW DR",
            "city": "MILPITAS",
            "state": "CA",
            "postal_code": "950353328",
            "telephone_number": "408-823-0920"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DESCANZO",
        "first_name": "JOSE JOVEN",
        "middle_name": "PINEDA",
        "name_prefix": "Mr.",
        "credential": "PTA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-12-01",
        "last_updated": "2012-12-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "CA",
            "license": "9089",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Milpitas, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 1, 2012; 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.