Individual provider Active NPI

Jerick Nomura, PT, DPT

  • Physical Therapist
  • La Canada, CA
National Provider Identifier
1972494979
Registry record updated Jun 24, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Practice address
4515 Ocean View Blvd Ste 350
La Canada, CA 91011-1409
Phone
(818) 369-7620
NPI assigned
Jul 9, 2025
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 24, 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 Primary

Addresses

Primary practice location

4515 Ocean View Blvd Ste 350
La Canada, CA 91011-1409

Mailing address

440 Foothill Blvd
La Canada, CA 91011-3503
Phone (818) 369-7620

Other practice location 1

440 Foothill Blvd
LA Canada Flintridge, CA 91011-3503
Phone (818) 369-7620

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20251003000737 CA Practitioner - Physical Therapist in Private Practice 2961908389 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
University of Southern California Keck School of Medicine, 2025
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Aaron McGuinness Physical Therapist IncGroup PAC ID 6507172145, 25 clinicians

Practice addresses (Care Compare)

4515 Ocean View Blvd
Suite 350
La Canada Flintridge, CA 91011-1409
Phone (818) 369-7620

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Aaron McGuinness Physical Therapist Inc CurrentSince Sep 1, 2025 Accepting new patients

Locations

440 Foothill Blvd
La Canada Flintridge, CA 91011
Phone (818) 369-7620

4515 Ocean View Blvd
Ste 350
La Canada Flt, CA 91011
Phone (818) 369-7620

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1752019200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1782259200000",
    "number": "1972494979",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "440 FOOTHILL BLVD",
            "city": "LA CANADA",
            "state": "CA",
            "postal_code": "910113503",
            "telephone_number": "818-369-7620"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4515 OCEAN VIEW BLVD STE 350",
            "city": "LA CANADA",
            "state": "CA",
            "postal_code": "910111409",
            "telephone_number": "818-369-7620"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "440 Foothill Blvd",
            "address_purpose": "LOCATION",
            "city": "LA Canada Flintridge",
            "state": "CA",
            "postal_code": "910113503",
            "country_code": "US",
            "telephone_number": "818-369-7620",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NOMURA",
        "first_name": "JERICK",
        "name_prefix": "Dr.",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2025-07-09",
        "last_updated": "2026-06-24",
        "certification_date": "2026-06-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in La Canada, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 24, 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.