JORGE BASTIDAS CACERES (NPI# 1902142318) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1902142318 |
| Entity Type | Individual |
| Full Name | JORGE BASTIDAS CACERES |
| Credential | PT, MPT |
| Practice Address |
2275 S Main St 102 Corona CA 92882-5303 |
| Practice Telephone | 9512737742 |
| Mailing Telephone | 9512737742 |
| Enumeration Date | 2012-12-13 |
| Last Update Date | 2017-02-10 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2251X0800X |
Physical Therapist Specialization: Orthopedic |
PT35690 | CA | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699796938 | Jorge Alberto Caceres | Specialist | 730 Memorial Dr, Suite 108, Bessemer, AL 35022-6032 | 2006-07-22 |
| 1407818586 | Jorge Luis Caceres Jr. | Physician Assistant | 116 Campus Ave, Raeford, NC 28376-2606 | 2006-04-04 |
| 1871942722 | Jorge Caceres | Student in an Organized Health Care Education/Training Program | 1611 Nw 12 Avenue, Miami, FL 33136 | 2016-06-10 |
| 1417382094 | Jorge Javier Caceres II | Nurse Practitioner | 801 S Main St, Ste C, Mcallen, TX 78501-5055 | 2013-09-13 |
| Street Address |
2275 S MAIN ST 102 |
| City | CORONA |
| State | CA |
| Zip Code | 92882-5303 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255313110 | Anthony Cary Lechner | Chiropractor | 2275 S Main St, Suite 103, Corona, CA 92882-5303 | 2005-11-16 |
| 1417597014 | Christopher D Fowler Jr. | Marriage & Family Therapist | 2275 S Main St, Corona, CA 92882-5303 | 2020-01-10 |
| 1871091397 | Amber Nicole Saucedo | Counselor | 2275 S Main St, Corona, CA 92882-5303 | 2018-01-30 |
| 1659803385 | Kylie Christianson | Marriage & Family Therapist | 2275 S Main St, Suite 201, Corona, CA 92882-5303 | 2017-03-31 |
| 1952842627 | Megan Piazzisi | Counselor | 2275 S Main St, Suite 201, Corona, CA 92882 | 2017-03-15 |
| 1720539273 | Matt Levyssohn | Counselor | 2275 S Main St, Ste 201, Corona, CA 92882-5303 | 2016-10-19 |
| 1578010492 | Judith Ramirez | Counselor | 2275 S Main St, Suite 201, Corona, CA 92882-5303 | 2016-09-08 |
| 1700251030 | Lisa Nadalet | Counselor | 2275 S Main St, Suite 201, Corona, CA 92882-5303 | 2015-12-11 |
| 1033581319 | Meghan Brandt | Counselor | 2275 S Main St, Ste 201, Corona, CA 92882-5303 | 2015-10-26 |
| 1336523869 | Francisco Ruiz | Counselor | 2275 S Main St, 201, Corona, CA 92882-5303 | 2015-07-14 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477116341 | People Providing Training Solutions | Health Educator | 650 S. Main Street Corona Public Library, Corona, CA 92882 | 2019-04-17 |
| 1972080752 | Boris Shlopov Md Pathology Medical Corporation | Pathology | 800 S Main, Corona, CA 92882 | 2018-07-24 |
| 1316431232 | Julia's Care Hospice | Hospice Care, Community Based | 1450 N Sixth St, Ste 117, Corona, CA 92882 | 2018-06-15 |
| 1477060499 | Shilpy Kanda | Physician Assistant | 2250 S Main St Ste 107, Corona, CA 92882 | 2017-12-29 |
| 1831616333 | Cindy Ruiz | Behavioral Analyst | 2868 Briarhaven Ln, Corona, CA 92882 | 2017-08-24 |
| 1366965667 | 3 Vest Medical Transportation Wc LLC | Non-emergency Medical Transport (VAN) | 3256 Rural Lane, Corona, CA 92882 | 2017-07-19 |
| 1477073468 | Adrian Macias I | Counselor | 2275 South Main Street Suite 201 Corona, Ca 92882, Corona, CA 92882 | 2017-06-21 |
| 1699205286 | Sylvia Barrow | Counselor | 2275 South Main Street Suite 201, Corona, CA 92882 | 2017-06-15 |
| 1417348574 | Pensar Medical | Durable Medical Equipment & Medical Supplies | 1269 Pomona Rd Ste 107, Corona, CA 92882 | 2015-02-11 |
| 1215327085 | Anne Maureen Sims | Social Worker | 2275 South Main, #201, Corona, CA 92882 | 2015-01-30 |
| Find all providers in zip 92882 | ||||
| Taxonomy Code | 2251X0800X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Physical Therapist |
| Specialization | Orthopedic |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164556700 | Byron Omar Reynoso | Physical Therapist | 1171 Railroad St, Corona, CA 92882-8247 | 2007-03-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568063311 | Kayla Utley | Physical Therapist | 5201 Norris Canyon Rd Ste 230, San Ramon, CA 94583-5405 | 2020-11-06 |
| 1184225054 | Vuk Ekmecic | Physical Therapist | 7908 Rancho Fanita Dr Spc 23, Santee, CA 92071-3421 | 2020-11-05 |
| 1932700283 | Christopher Lui | Physical Therapist | 21621 E Bluebell Ct, Walnut, CA 91789-1443 | 2020-11-03 |
| 1952900789 | Sierra Speck | Physical Therapist | 11701 Wilshire Blvd Ste 14b1, Los Angeles, CA 90025-1547 | 2020-10-22 |
| 1992312086 | Heidi Lynne Anders | Physical Therapist | 5805 W 8th St Apt 205, Los Angeles, CA 90036-4576 | 2020-09-23 |
| 1578176780 | Patricia Isabella Commer | Physical Therapist | 4146 Randolph Ave, Oakland, CA 94602-1314 | 2020-08-26 |
| 1376151126 | Yifu Zhou | Physical Therapist | 1625 W Olympic Blvd Ste 790, Los Angeles, CA 90015-3809 | 2020-07-17 |
| 1033732250 | Sync Physical Therapy & Yoga Inc | Physical Therapist | 5100 Marlborough Dr Ste 101, San Diego, CA 92116-2020 | 2020-05-21 |
| 1043830961 | Dr. Holly Physical Therapy | Physical Therapist | 4500 Shepard St, Bakersfield, CA 93313-2326 | 2020-04-21 |
| 1861011744 | Lauren Jarmusz | Physical Therapist | 1107 2nd Ave Apt 408, Redwood City, CA 94063-4036 | 2020-04-10 |
| 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.