Active NPI
Jon Izzo
- Physical Therapist
- Oceanside, CA
National Provider Identifier
1760866693
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT15976
- Practice address
- 830 Harbor Cliff Way
Ste# 280
Oceanside, CA 92054-2216 - Phone
- (760) 224-7173
- Fax
- (760) 754-5444
- NPI assigned
- Jul 9, 2015
- Sex
- Male
- Sole proprietor
- Yes
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 | PT15976 | CA | Primary |
Addresses
Primary practice location
830 Harbor Cliff Way
Ste# 280
Oceanside, CA 92054-2216
Mailing address
830 Harbor Cliff Way
Ste# 280
Oceanside, CA 92054-2216
Phone (760) 224-7173
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
| License | State | Type | Specialty |
|---|---|---|---|
| PT15976 | CA | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1436400000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1436400000000",
"number": "1760866693",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "830 HARBOR CLIFF WAY",
"address_2": "STE# 280",
"city": "OCEANSIDE",
"state": "CA",
"postal_code": "920542216",
"telephone_number": "760-224-7173",
"fax_number": "760-754-5444"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "830 HARBOR CLIFF WAY",
"address_2": "STE# 280",
"city": "OCEANSIDE",
"state": "CA",
"postal_code": "920542216",
"telephone_number": "760-224-7173",
"fax_number": "760-754-5444"
}
],
"practiceLocations": [],
"basic": {
"last_name": "IZZO",
"first_name": "JON",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2015-07-09",
"last_updated": "2015-07-09",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "CA",
"license": "PT15976",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Oceanside, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.