DR. JASON MATTHEW ANTONIO (NPI# 1053698233) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1053698233 |
| Entity Type | Individual |
| Full Name | DR. JASON MATTHEW ANTONIO |
| Credential | DPT |
| Practice Address |
875 E Canal Dr Ste 1 Turlock CA 95380 |
| Mailing Address |
875 E Canal Dr Ste 1 Turlock CA 95380-4542 |
| Practice Telephone | 2096333077 |
| Practice Fax Number | 2096333078 |
| Mailing Telephone | 2096333077 |
| Mailing Fax Number | 2096333078 |
| Enumeration Date | 2011-11-15 |
| Last Update Date | 2020-09-03 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 174400000X | Specialist | 37820 | CA | Other Service Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 1933 Coffee Rd, Modesto, CA 953552704 | 2095247488 | 2095227488 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245554153 | Jason Clay Antonio | Dentist | 11875 Pigeon Pass Rd, Moreno Valley, CA 92557-6039 | 2010-03-22 |
| Street Address |
875 E CANAL DR STE 1 |
| City | TURLOCK |
| State | CA |
| Zip Code | 95380 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407467483 | Laura Mcintosh-sapien | Physical Medicine & Rehabilitation | 875 E Canal Dr Ste 1, Turlock, CA 95380-4542 | 2020-08-12 |
| 1033626775 | Altruistic Physical Therapy | Clinic/Center | 875 E Canal Dr Ste 1, Turlock, CA 95380 | 2018-01-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780292094 | Nuelia S Pimnetel | Case Manager/Care Coordinator | 1916 Cali Ln Ct, Turlock, CA 95380 | 2020-07-22 |
| 1528608882 | Lidia Rocha | Emergency Medical Technician, Basic | 500 F St, Turlock, CA 95380 | 2020-01-14 |
| 1962980870 | Aspiranet | Community/Behavioral Health | 2907 W Linwood Ave, Turlock, CA 95380 | 2018-08-02 |
| 1194262865 | Creative Alternatives, Inc | Residential Treatment Facility, Emotionally Disturbed Children | 1101 E. Greenway Avenue, Turlock, CA 95380 | 2017-01-19 |
| 1598013179 | Workplace Wellness | Community/Behavioral Health | 2101 Geer Road Ste 120, Turlock, CA 95380 | 2012-08-29 |
| 1679850663 | Hyun Cho | Pharmacist | 1591 Geer Road, Turlock, CA 95380 | 2011-11-04 |
| 1942584560 | Kimberly Anne Franck | Counselor | 2513 Youngstown Road, Turlock, CA 95380 | 2011-09-30 |
| 1831384981 | Valley Care Medical Group, Inc | Clinic/Center | 777 Hawkeye Ave, Suite 3, Turklock, CA 95380 | 2007-09-12 |
| 1225256431 | Carole Martinelli Sevick | Marriage & Family Therapist | 430 Crane Avenue, Suite 105, Turlock, CA 95380 | 2007-04-23 |
| 1194940239 | Lisa Ann Jameson | Marriage & Family Therapist | 1246 E Canal Ave, Turlock, CA 95380 | 2007-04-16 |
| Find all providers in zip 95380 | ||||
| Taxonomy Code | 174400000X |
| Grouping | Other Service Providers |
| Classification | Specialist |
| An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
| Notes: Source: Expanded from Webster’s II New Riverside University Dictionary, Boston: Riverside Publishing Company, 1974. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649534033 | Kathy Unternaher | Specialist | 4420 Fosberg Rd, Turlock, CA 95382-0333 | 2012-06-29 |
| 1295823755 | Daniel Lee | Specialist | 880 Delbon Ave, Turlock, CA 95382-2005 | 2006-10-10 |
| 1013947233 | Pathmani Goonawardena | Specialist | 1000 Delbon Ave, Suite 1, Turlock, CA 95382-2008 | 2006-07-04 |
| 1477509529 | Anjani Kumar Thakur | Specialist | 840 Delbon Ave, Turlock, CA 95382-2005 | 2006-05-26 |
| 1598723538 | Ali H Reza | Specialist | 2141 Colorado Ave, Turlock, CA 95382-2011 | 2006-05-01 |
| 1316934375 | Robert Lee Hileman | Specialist | 1199 Delbon Ave, Suite 4, Turlock, CA 95382-2015 | 2005-10-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073113072 | Jonalyn Coronel | Specialist | 653 Canyon Rd, Novato, CA 94947-4331 | 2020-10-28 |
| 1497353239 | Nadia Nodoust-christensen | Specialist | 1627 Curtis Ave, Manhattan Beach, CA 90266-7022 | 2020-10-14 |
| 1073111936 | Griffin Nutrition Xterem | Specialist | 21575 Dome Trl, Topanga, CA 90290-3645 | 2020-10-13 |
| 1811503162 | George Thomas Lafortune | Specialist | 7927 Painter Ave Ste 200, Whittier, CA 90602-2480 | 2020-09-22 |
| 1699383661 | Transgender Health and Wellness Center | Specialist | 6700 Indiana Ave Ste 252, Riverside, CA 92506-4264 | 2020-07-16 |
| 1700403524 | Kelly Phillips | Specialist | 4650 Fruitvale Rd, Newcastle, CA 95658-9240 | 2020-06-27 |
| 1417572462 | Sarah Velez | Specialist | 1001 Potrero Ave Rm 7g19, San Francisco, CA 94110-3518 | 2020-06-15 |
| 1295350668 | Bette Graff | Specialist | 4148 10th St, Riverside, CA 92501-3110 | 2020-06-11 |
| 1114541463 | Serena Mink | Specialist | 100 Park Plz Apt 407, San Diego, CA 92101-6710 | 2020-06-02 |
| 1811510043 | Michael J Kodrich | Specialist | 40555 California Oaks Rd, Murrieta, CA 92562-5723 | 2020-05-21 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.