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Elijah Jesusa Dia

Physical Therapist in Winnetka, CA. Individual provider (NPI-1).

NPI number1831037571
StatusActive
Last updated in NPPESMar 24, 2026

Details

NPI
1831037571
Entity type
Individual (NPI-1)
Name
Elijah Jesusa Dia
Sex
Female
Sole proprietor
Yes
Enumeration date
Mar 24, 2026
Certification date
Mar 23, 2026
Last updated
Mar 24, 2026

Medicare and OIG

Medicare enrolled (PECOS)
Not in the Medicare enrollment file
Can order and refer
Not on the CMS order and referring list
OIG exclusion list
This NPI is not listed

CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
225100000X Physical Therapist301484CAYes

Practice location

20428 Baltar St
Winnetka, CA 91306-1806

Phone 818-399-5834

Mailing address

20428 Baltar St
Winnetka, CA 91306-1806

Is something wrong?

This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.

Other Physical Therapist providers in Winnetka, CA

All 9 Physical Therapist providers in Winnetka · All 369 providers in Winnetka

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