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

Mr. Mariano Jervoso Mempin III, PTA

Individual provider Physical Therapy Assistant · NPI 1467219329

Mr. Mariano Jervoso Mempin III, PTA is a Physical Therapy Assistant in San Jose, California. Licensed in California. Registered with an NPI since 2024.

Licensed in
CA
In the registry since
2024
What do these letters mean?
PTA — Physical Therapist Assistant
Delivers treatment under a physical therapist's direction.

See every abbreviation used in this directory →

Practice location Address checks out

1604 Blossom Hill Rd Ste 10
San Jose, CA 95124-6350
Phone: (408) 528-8833
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 52735 (CA)

Record details

NPI number1467219329
Entity typeIndividual (Type 1)
GenderMale
Credentials PTA
Sole proprietorNo
NPI enumeratedMarch 6, 2024
Last updated in NPPESMarch 6, 2024
Certification dateMarch 6, 2024

Other providers in San Jose