Active NPI
Justin Ilejay, PT, DPT
- Physical Therapist
- San Fernando, CA
National Provider Identifier
1821986233
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 307987
- Practice address
- 1240 Truman St
San Fernando, CA 91340-3203 - Phone
- (818) 403-6559
- NPI assigned
- Jun 25, 2025
- 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 | 307987 | CA | Primary |
Addresses
Primary practice location
1240 Truman St
San Fernando, CA 91340-3203
Mailing address
25115 Avenue Stanford Ste B135
Valencia, CA 91355-1290
Phone (661) 250-9940
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2024
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
24441 Calle Sonora
Laguna Woods, CA 92637-7714
Phone (949) 243-5710
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 307987 | CA | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Vargo Physical Therapy, Inc. | Physical Therapist | Current | Accepting new patients |
| Vargo Physical Therapy, Inc | Physical Therapist | Past | Accepting new patients |
Locations
1240 Truman St
San Fernando, CA 91340
Phone (818) 403-6559
25115 Avenue Stanford
Ste B135
Valencia, CA 91355
Phone (661) 250-9940
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Physical Therapist
- Santa Clarita, CA
- NPI 1811910797
-
- Physical Therapist
- San Fernando, CA
- NPI 1730682220
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1750809600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1750809600000",
"number": "1821986233",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "25115 AVENUE STANFORD STE B135",
"city": "VALENCIA",
"state": "CA",
"postal_code": "913551290",
"telephone_number": "661-250-9940",
"fax_number": "661-250-9959"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1240 TRUMAN ST",
"city": "SAN FERNANDO",
"state": "CA",
"postal_code": "913403203",
"telephone_number": "818-403-6559"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ILEJAY",
"first_name": "JUSTIN",
"credential": "PT, DPT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2025-06-25",
"last_updated": "2025-06-25",
"certification_date": "2025-06-25",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "CA",
"license": "307987",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in San Fernando, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 25, 2025; 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.