MEDICARE: JOSUE EMANUEL TRINIDAD COMPEAN

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	225200000X	Physical Therapy Assistant	52569	CA

General Provider Information

NPI Number	:	1316888225
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JOSUE EMANUEL TRINIDAD COMPEAN

Provider Business Mailing Address
First Line	:	3327 M ST STE A
Second Line	:
City	:	MERCED
State	:	CA
Zip	:	95348-2705
Country	:	US
Telephone Number	:	209-722-1030
Fax Number	:	209-722-5408

Provider Business Practice Location Address
First Line	:	3327 M ST STE A
Second Line	:
City	:	MERCED
State	:	CA
Zip	:	95348-2705
Country	:	US
Telephone Number	:	209-722-1030
Fax Number	:	209-722-5408

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/03/2026
Last Update Date	:	04/03/2026

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1164364469 — MR. JOE ALVARES
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1407033251 — STEPHANIE RAYMOND P.T.
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1548651193 — JENNIFER HOBBS M.S., R.D.
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1891230843 — JOYCE SUMMERTON CLT CMT, CLT
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1942773312 — PATRICIA SCHOLL PTA
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1649872078 — AARON KNAPP DPT
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