Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Dr. Jesse Tabisula Lamog, DPT

Individual provider Physical Therapist · NPI 1902387228

Dr. Jesse Tabisula Lamog, DPT is a Physical Therapist in Private Practice in Chino, California. Qualified in 2018, 8 years ago. Practices with Kaiser Foundation Health Plan Inc, a 110-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in California.

Years since qualifying
8
Licensed in
CA
In the registry since
2018
What do these letters mean?
DPT — Doctor of Physical Therapy
The doctoral degree now required to enter physical therapy practice.

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Practice location Address checks out

14682 Central Ave
Chino, CA 91710-9505
Phone: (951) 376-2692
Fax: (951) 684-2980
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 3191 Mission Inn Ave Ste B, Riverside, CA 92507-4188 — (951) 376-2692

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence PT295254 (CA)

Record details

NPI number1902387228
Entity typeIndividual (Type 1)
GenderMale
Credentials DPT
Sole proprietorNo
NPI enumeratedAugust 24, 2018
Last updated in NPPESSeptember 24, 2021
Certification dateSeptember 24, 2021

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2018 (8 years in practice)
Group practice Kaiser Foundation Health Plan Inc — 110 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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