Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Eugene Tibayan

Individual provider Physical Therapy Assistant · NPI 1669166773

Eugene Tibayan is a Physical Therapy Assistant in Walnut Creek, California. Licensed in California. Registered with an NPI since 2023.

Licensed in
CA
In the registry since
2023
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Practice location Address checks out

110 La Casa Via Ste 100
Walnut Creek, CA 94598-3000
Phone: (925) 935-4866
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Specialties & licences

Physical Therapy Assistant (primary) Taxonomy 225200000X · Licence 52574 (CA)

Record details

NPI number1669166773
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedJune 5, 2023
Last updated in NPPESJune 5, 2023
Certification dateJune 3, 2023
Mailing address101 Kinross Dr Apt 6, Walnut Creek, CA 94598-2133

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