JAMAL TYRONE LEDET-TRAVIS
NPI 1194288118
Rehabilitation Practitioner in San Diego, CA

Active since April 08, 2019
1011 CAMINO DEL RIO S, SAN DIEGO, CA 92108(619) 287-8225 Get Directions Write a Review

NPPES record last updated: March 27, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Mar 27, 2025, Jul 8, 2024, Apr 8, 2019 (3 updates tracked since 2019).

About Jamal Tyrone Ledet-travis NPPES

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

JAMAL TYRONE LEDET-TRAVIS (NPI 1194288118) is an individual rehabilitation practitioner in San Diego, California and active in the NPI registry since April 2019. He maintains a secondary practice location in Santee.

NPPES Registry Identity

NPI1194288118
Entity TypeIndividualMale
Primary Taxonomy225400000X
Provider Legal NameJAMAL TYRONE LEDET-TRAVIS
Location Address1011 CAMINO DEL RIO SSan Diego, CA 92108-3531
Mailing Address4746 Guymon St RearSan Diego, CA 92102-3730
Sole ProprietorYes
Enumeration DateApril 8, 2019
Last NPPES UpdateMarch 27, 20253 updates tracked since enumeration
NPPES CertifiedMarch 27, 2025
NPI 1194288118 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyRehabilitation PractitionerRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Taxonomy Code225400000X
Definition

A health care practitioner who trains or retrains individuals disabled by disease or injury to help them attain their maximum functional capacity.

Also ListedCommunity Health WorkerTaxonomy 172V00000X
1011 CAMINO DEL RIO S, San Diego, CA 92108

Secondary Practice Location 1

Location 110201 Mission Gorge RdSantee, CA 92071-3027 · Phone (619) 383-6868

Other Providers at the Same Location NPPES 8

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Registered Nurse
1011 CAMINO DEL RIO S, SUITE 340
SAN DIEGO, CA 92108
Registered Nurse
1011 CAMINO DEL RIO S, SUITE 340
SAN DIEGO, CA 92108
Licensed Vocational Nurse
1011 CAMINO DEL RIO S, SUITE 340
SAN DIEGO, CA 92108
Registered Nurse
1011 CAMINO DEL RIO S, SUITE 340
SAN DIEGO, CA 92108
Rehabilitation Practitioner
1011 CAMINO DEL RIO S, 300
SAN DIEGO, CA 92108
Licensed Vocational Nurse
1011 CAMINO DEL RIO S, SUITE 340
SAN DIEGO, CA 92108
Licensed Vocational Nurse
1011 CAMINO DEL RIO S, SUITE 340
SAN DIEGO, CA 92108
Nursing Care
1011 CAMINO DEL RIO S, 340
SAN DIEGO, CA 92108

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 Jamal Ledet-travis's NPI number?

The NPI number for Jamal Ledet-travis is 1194288118. It was assigned to this individual provider in the NPPES registry on April 8, 2019.

Where is Jamal Ledet-travis located?

Jamal Ledet-travis practices at 1011 Camino Del Rio S, San Diego, CA 92108. The listed phone number is (619) 287-8225.

What is Jamal Ledet-travis's specialty?

The primary specialty registered for this NPI is Rehabilitation Practitioner with taxonomy code 225400000X.

When was this NPI record last updated?

The NPPES record for Jamal Ledet-travis was last updated on March 27, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.