Healthcare Provider Details

I. General information

NPI: 1750291431
Provider Name (Legal Business Name): JOCELYN LUX SHUGART DPT
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: JOCELYN SARA LUX DPT

II. Dates (important events)

Enumeration Date: 09/08/2026
Last Update Date: 09/08/2026
Certification Date: 09/08/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

131 RAMONA AVE
EL CERRITO CA
94530-4142
US

IV. Provider business mailing address

131 RAMONA AVE
EL CERRITO CA
94530-4142
US

V. Phone/Fax

Practice location:
  • Phone: 510-684-3394
  • Fax:
Mailing address:
  • Phone: 510-684-3394
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number310910
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: