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

Jared Cavagnuolo

Individual provider Rehabilitation Practitioner · NPI 1902636954

Jared Cavagnuolo is a Rehabilitation Practitioner in Glendale, California. Registered with an NPI since 2024.

In the registry since
2024

Practice location Address checks out

225 W Broadway Ste 155
Glendale, CA 91204-1332
Phone: (818) 333-8294
Show map & directions

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

Specialties & licences

Rehabilitation Practitioner (primary) Taxonomy 225400000X

Record details

NPI number1902636954
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedAugust 5, 2024
Last updated in NPPESAugust 5, 2024
Certification dateAugust 5, 2024
Mailing address225 W Broadway Ste 155, Glendale, CA 91204-1332

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