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

Jared Bailey

Individual provider Rehabilitation Practitioner · NPI 1417648924

Jared Bailey is a Rehabilitation Practitioner in San Pedro, California. Licensed in California. Registered with an NPI since 2023.

Licensed in
CA
In the registry since
2023
Specialties on file
2

Practice location Address checks out

1630 W 6th St
San Pedro, CA 90732
Phone: (424) 529-3020
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Community Health Worker (primary) Taxonomy 172V00000X (CA)
Rehabilitation Practitioner Taxonomy 225400000X

Record details

NPI number1417648924
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedMay 16, 2023
Last updated in NPPESMarch 14, 2025
Certification dateMarch 12, 2025
Mailing address21000 Plummer St, Chatsworth, CA 91311-4903

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