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

Jared Tan Dicioco, PT

Individual provider Orthopedic Physical Therapist · NPI 1538055181

Jared Tan Dicioco, PT is a Physical Therapist in Private Practice in Los Angeles, California. Graduated from Western University of Health Sciences College of Dental Med in 2025, 1 year ago. Practices with USC Care Medical Group Inc, a 1,371-clinician group and accepts Medicare assignment. Licensed in California.

Years since qualifying
1
Trained at
Western University of Health Sciences College of Dental Med
Licensed in
CA
In the registry since
2025
What do these letters mean?
PT — Physical Therapist
A licensed therapist who treats movement, pain and injury.

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Practice location Address checks out

1640 Marengo St Ste 102
Los Angeles, CA 90033-1061
Phone: (323) 865-1200
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Orthopedic Physical Therapist (primary) Taxonomy 2251X0800X · Licence 308208 (CA)

Record details

NPI number1538055181
Entity typeIndividual (Type 1)
GenderMale
Credentials PT
Sole proprietorYes
NPI enumeratedJune 17, 2025
Last updated in NPPESAugust 14, 2025
Certification dateAugust 14, 2025

Medicare enrollment

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

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolWESTERN UNIVERSITY OF HEALTH SCIENCES COLLEGE OF DENTAL MED
Graduated 2025 (1 years in practice)
Group practice Usc Care Medical Group Inc — 1371 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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