JESSE GRULLON (NPI# 1518585512) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1518585512 |
| Entity Type | Individual |
| Full Name | JESSE GRULLON |
| Credential | DPT |
| Practice Address |
1031 W 34th St Ste 450 Los Angeles CA 90089-2070 |
| Mailing Address |
Po Box 31309 Los Angeles CA 90031-0309 |
| Practice Telephone | 2137400215 |
| Mailing Telephone | 2137400215 |
| Enumeration Date | 2020-07-07 |
| Last Update Date | 2020-09-11 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2251S0007X |
Physical Therapist Specialization: Sports |
PT298714 | CA | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
1031 W 34TH ST STE 450 |
| City | LOS ANGELES |
| State | CA |
| Zip Code | 90089-2070 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598987539 | Lori Ann Michener | Physical Therapist | 1031 W 34th St Ste 450, Los Angeles, CA 90089-3603 | 2007-05-02 |
| 1255956645 | Aaron Hewus | Physical Therapist | 1031 W 34th St Ste 450, Los Angeles, CA 90089-3603 | 2020-06-11 |
| 1609431881 | Marisa E Hentis | Physical Therapist | 1031 W 34th St Ste 450, Los Angeles, CA 90089-3603 | 2019-05-03 |
| 1932689825 | Claire Womack Nguyen | Physical Therapist | 1031 W 34th St Ste 450, Los Angeles, CA 90089-0093 | 2018-08-20 |
| 1043799737 | Patrick Huang | Physical Therapist | 1031 W 34th St Ste 450, Los Angeles, CA 90089-3603 | 2018-08-13 |
| 1689198681 | Shannon Plosser | Physical Therapist | 1031 W 34th St Ste 450, Los Angeles, CA 90089-3603 | 2017-08-01 |
| 1265812721 | Andrew Saldivar | Physical Therapist | 1031 W 34th St Ste 450, Los Angeles, CA 90089-1036 | 2015-05-31 |
| 1104220722 | Pamela Mikkelsen | Physical Therapist | 1031 W 34th St Ste 450, Los Angeles, CA 90089-3603 | 2014-10-09 |
| 1285915280 | Aimee Miltenberger Diaz | Physical Therapist | 1031 W 34th St Ste 450, Los Angeles, CA 90089-3603 | 2011-09-02 |
| 1548541089 | Max Chaim Barroso | Physical Therapist | 1031 W 34th St Ste 450, Los Angeles, CA 90089-3603 | 2011-08-29 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962980201 | Brittany Nicole Beasley | Psychologist | 1031 W. 34th St., 3rd Floor, Suite 304, Los Angeles, CA 90089 | 2018-07-30 |
| 1548763675 | Tien Ng | Pharmacist | Usc School of Pharmacy, 1985 Zonal Ave, Los Angeles, CA 90089 | 2018-03-15 |
| 1821503236 | Theodore James Goldsmith | Psychologist | 1031 W 34th St Fl 3, Los Angeles, CA 90089 | 2017-12-07 |
| 1174046890 | Erin Lindsay Mcintyre | Occupational Therapist | 1540 Alcazar Street, Chp 133, Los Angeles, CA 90089 | 2017-07-25 |
| 1831645571 | Alyssa Cantal | Student in an Organized Health Care Education/Training Program | 1540 Alcazar St., Chp-133, Los Angeles, CA 90089 | 2016-09-01 |
| 1841744638 | Cheryl Jonghee Park | Dentist | 925 W. 34th Street, Room 4363, Los Angeles, CA 90089 | 2016-08-09 |
| 1528412376 | Mark Duan Ard Jr. | Psychiatry & Neurology | 1975 Zonal Ave, Los Angeles, CA 90089 | 2016-04-18 |
| 1851766679 | Samantha Trout | Student in an Organized Health Care Education/Training Program | 1540 Alcazar St Chp-133, Los Angeles, CA 90089 | 2015-12-04 |
| 1215324363 | Upama Giri | Student in an Organized Health Care Education/Training Program | 1441 Eastlake Ave Ste 3470, Los Angeles, CA 90089 | 2015-04-15 |
| 1982015004 | Martrice Ways | Student in an Organized Health Care Education/Training Program | 3375 South Hoover Street, Suite H201, Los Angeles, CA 90089 | 2014-05-12 |
| Find all providers in zip 90089 | ||||
| Taxonomy Code | 2251S0007X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Physical Therapist |
| Specialization | Sports |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225505894 | Haley Tarryn Hawes | Physical Therapist | 12401 Wilshire Blvd Ste 105, Los Angeles, CA 90025-1015 | 2018-10-31 |
| 1518065184 | Stephen Gibbs Paulseth | Physical Therapist | 1950 Century Park E, Los Angeles, CA 90067-1705 | 2006-09-20 |
| 1306344981 | A I M for Wellness Inc | Physical Therapist | 8725 La Tijera Blvd, Los Angeles, CA 90045 | 2018-01-29 |
| 1396131173 | Sophia Gonzalez | Physical Therapist | 940 W 35th St, Usc Athletic Medicine, Los Angeles, CA 90089-0001 | 2015-04-08 |
| 1972871184 | John Landeene Meyer | Physical Therapist | 8830 S Sepulveda Blvd, Los Angeles, CA 90045-4833 | 2011-12-02 |
| 1023215530 | Stay Ready Physical Therapy | Physical Therapist | 11819 Wilshire Blvd, Suite 201, Los Angeles, CA 90025-6619 | 2007-06-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104443837 | Coastal Physical Therapy and Sports Rehabilitation | Physical Therapist | 258 Lombard St, Thousand Oaks, CA 91360-5806 | 2020-06-29 |
| 1992335509 | Ashton Pickle | Physical Therapist | 150 Loma Ln, San Clemente, CA 92672-4721 | 2020-01-23 |
| 1083262976 | Lana Aziz-oglii | Physical Therapist | 2791 Brimhall Dr, Los Alamitos, CA 90720-4905 | 2019-09-03 |
| 1174080931 | Mmt Physical Therapy Inc | Physical Therapist | 3040 Larkin St, San Francisco, CA 94109-1116 | 2019-02-27 |
| 1649737982 | La Orthopedic and Pediatric Physical Therapy | Physical Therapist | 16055 Ventura Blvd Ste 825, Encino, CA 91436-2617 | 2019-02-22 |
| 1629561667 | Jason Chan Hyung Park | Physical Therapist | 2440 W Carson St, Torrance, CA 90501-3146 | 2018-06-13 |
| 1447757125 | Anthony G Tam | Physical Therapist | 5030 Bonita Rd Ste B, Bonita, CA 91902-1700 | 2018-04-10 |
| 1730606468 | Joseph Anthony Santistevan | Physical Therapist | 1975 Maricopa Hwy Spc 19, Ojai, CA 93023-2365 | 2017-08-24 |
| 1124541016 | Max Biessmann | Physical Therapist | 28202 Cabot Rd Ste 150, Laguna Niguel, CA 92677-1250 | 2017-07-21 |
| 1194259887 | Stanley Conte | Physical Therapist | 164 Mesa Verde Way, San Carlos, CA 94070-4283 | 2017-04-19 |
| Find all providers with the same taxonomy | ||||
| City | LOS ANGELES |
| Zip Code | 90089 |
Please comment or provide details below to improve the information on JESSE GRULLON.
| 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.