Jared Jung

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

51789 Issued in CA

Practice address

5525 Dewey Dr Ste 202
Fair Oaks, CA 95628-3131

Phone

(916) 536-9130

NPI assigned

Sep 12, 2022

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1662940800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1755043200000",
    "number": "1821710476",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "626 COPPERVALE CIR",
            "city": "ROCKLIN",
            "state": "CA",
            "postal_code": "957654259"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5525 DEWEY DR STE 202",
            "city": "FAIR OAKS",
            "state": "CA",
            "postal_code": "956283131",
            "telephone_number": "916-536-9130"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JUNG",
        "first_name": "JARED",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2022-09-12",
        "last_updated": "2025-08-13",
        "certification_date": "2025-08-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "CA",
            "license": "51789",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Paul A Jongeward, ED.D.
• Ramnik Kaur Josan, M.D.
• Jodie Joslin, J.A., CCC/SLP
• Julie Gray Chiropractic Center Corp
• Jinyoung Jung-Kim, DDS
• Zubin Kachhi, PHARM.D
• Elizabeth J Kailath, MD,MPH
• Kaiser Permanente
• Teena Leya Kalapurayil, PA-C
• Dheeraj Kamra, MD

• Physical Therapy Assistant in Fair Oaks, CA
• Providers in Fair Oaks, CA by specialty
• Physical Therapy Assistant in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 13, 2025; 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.