MR. ALLAN P. DIZON MPT NPI 1023146461

Physical Therapist (Orthopedic) in Ontario, CA

About ALLAN DIZON

Allan Dizon is a provider in Ontario, CA. The NPI number assigned to this provider is 1023146461. The practitioner's primary taxonomy code is Physical Therapist (2251X0800X). The provider is registered as an individual and their NPI record was last updated 6 years ago.

NPI1023146461 Additional informationCallout TooltipNational Provider Indentifier (NPI)
The 10-position all-numeric identification number assigned by the NPPES to uniquely identify a health care provider.
Provider NameMR. ALLAN P. DIZON MPT
Provider Location Address1950 S MOUNTAIN AVE ONTARIO, CA 91762 Additional informationCallout TooltipProvider location address
The location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.
Provider Mailing Address2661 OLYMPIC VIEW DR CHINO HILLS, CA 91709 Additional informationCallout TooltipProvider mailing address
The mailing address of the provider being identified. This address may contain the same information as the provider location address.
GenderMale
NPI Entity TypeIndividual Additional informationCallout TooltipEntity type code
The code describing the type of health care provider that is being assigned an NPI.
Codes are:
1 = (Person): individual human being who furnishes health care;
2 = (Non-person): entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO).
Is Sole Proprietor?No
Is Organization Subpart?N/A Additional informationCallout TooltipWhat is a subpart?
Subparts are the components and separate physical locations of organization health care providers. Examples include:
Hospital components include outpatient departments, surgical centers, psychiatric units, and laboratories. These components are often separately licensed or certified by States and may exist at physical locations other than that of the hospital of which they are a component.
Enumeration Date02-28-2007 Additional informationCallout TooltipProvider enumeration date
The date the provider was assigned a unique identifier (assigned an NPI)
Last Update Date02-12-2012 Additional informationCallout TooltipLast update date
The date that a record was last updated or changed.

Business Address

MR. ALLAN P. DIZON MPT
1950 S MOUNTAIN AVE
ONTARIO, CA
ZIP 91762
Phone: (909) 467-6183
Fax: (909) 983-5814
Get Directions

Mailing Address

MR. ALLAN P. DIZON MPT
2661 OLYMPIC VIEW DR
CHINO HILLS, CA
ZIP 91709
Phone: (909) 636-8394
Fax: (909) 636-8394

Primary Taxonomy

Taxonomy Code2251X0800X Additional informationCallout TooltipPrimary Taxonomy Code
The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
ClassificationPhysical Therapist
TypeRespiratory, Developmental, Rehabilitative and Restorative Service Providers
SpecializationOrthopedic
License No.PT23875
License StateCA

Secondary Taxonomies


The secondary taxonomy codes define the provider type, classification, and specialization. For individual NPIs the license data is associated to each taxonomy code.

No. Taxonomy Code Type Classification Specialization License No. State Primary
12251G0304XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGeriatricsPT23875CANo

Additional Identifiers


Additional identifier(s) currently or formerly used as an identifier for the provider. The codes may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State
Q24373MEDICARE UPIN (02)CA

Map Location


MR. ALLAN P. DIZON MPT address is 1950 S MOUNTAIN AVE ONTARIO, CA 91762

Other Providers at the same location


The following 2 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1093711681INLAND CHRISTIAN HOME, INC.
Organization
Skilled Nursing Facility1950 S MOUNTAIN AVE
ONTARIO, CA 91762
(909) 983-0084
1730204082DR. GARY J. VOORMAN M.D.
Individual
Psychiatry & Neurology (Psychiatry)1950 S MOUNTAIN AVE APT. 4005
ONTARIO, CA 91762
(909) 988-7848