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

Jared Dylan Canonigo

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1043188675

Jared Dylan Canonigo is a Student in an Organized Health Care Education/Training Program in Palo Alto, California. Registered with an NPI since 2025.

In the registry since
2025

Practice location Address checks out

725 Welch Rd Uppr 650-497
Palo Alto, CA 94304-1601
Phone: (479) 790-9413
Show map & directions

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

Specialties & licences

Student in an Organized Health Care Education/Training Program (primary) Taxonomy 390200000X

Record details

NPI number1043188675
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedOctober 27, 2025
Last updated in NPPESMay 1, 2026
Certification dateMay 1, 2026

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