JARED DYLAN CANONIGO
NPI 1043188675
Student in an Organized Health Care Education/Training Program in Palo Alto, CA

Q: What is Jared Canonigo's NPI number?

The NPI number for Jared Canonigo is 1043188675. It was assigned to this individual provider in the NPPES registry on October 27, 2025.

Q: What is Jared Canonigo's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Q: When was this NPI record last updated?

The NPPES record for Jared Canonigo was last updated on May 1, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since October 27, 2025

725 WELCH RD UPPR 650-497, PALO ALTO, CA 94304(479) 790-9413 Get Directions Write a Review

NPPES record last updated: May 1, 2026. Verified against the NPPES registry weekly; last sync: August 23, 2026.

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About Jared Dylan Canonigo NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JARED DYLAN CANONIGO (NPI 1043188675) is an individual student in an organized health care education/training program in Palo Alto, California and active in the NPI registry since October 2025.

NPPES Registry Identity

NPI1043188675

Entity TypeIndividualMale

Primary Taxonomy390200000X

Provider Legal NameJARED DYLAN CANONIGO

Location Address725 WELCH RD UPPR 650-497Palo Alto, CA 94304-1601

Mailing Address725 Welch Rd Uppr 650-497Palo Alto, CA 94304-1601 · (479) 790-9413

Phone(479) 790-9413

Sole ProprietorNo

Enumeration DateOctober 27, 2025

Last NPPES UpdateMay 1, 2026

NPPES CertifiedMay 1, 2026

✔ NPI 1043188675 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care

Taxonomy Code390200000X

Definition

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

725 WELCH RD UPPR 650-497, Palo Alto, CA 94304

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Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jared Canonigo's NPI number?

The NPI number for Jared Canonigo is 1043188675. It was assigned to this individual provider in the NPPES registry on October 27, 2025.

Where is Jared Canonigo located?

Jared Canonigo practices at 725 Welch Rd Uppr 650-497, Palo Alto, CA 94304. The listed phone number is (479) 790-9413.

What is Jared Canonigo's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

When was this NPI record last updated?

The NPPES record for Jared Canonigo was last updated on May 1, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.