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

Jesse Caceres

Individual provider Physical Therapy Assistant · NPI 1063279610

Jesse Caceres is a Physical Therapy Assistant in Van Nuys, California. Licensed in California. Registered with an NPI since 2024.

Licensed in
CA
In the registry since
2024

Practice location Address checks out

7100 Van Nuys Blvd Ste 103
Van Nuys, CA 91405-3063
Phone: (310) 504-3135
Show map & directions

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

Specialties & licences

Physical Therapy Assistant (primary) Taxonomy 225200000X · Licence 54750 (CA)

Record details

NPI number1063279610
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedFebruary 29, 2024
Last updated in NPPESMay 5, 2026
Certification dateMay 5, 2026
Mailing address7100 Van Nuys Blvd Ste 103, Van Nuys, CA 91405-3063

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