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Search › California › Physical Therapy Assistant

Jason Wallace, PTA

NPI 1891786646 · on the registry since 2005

Practice

Address
2486 N Ponderosa Dr
Ste D-106
Camarillo, CA 93010
Phone
(805) 484-5447
Organisation at this address
Darancare Health Corporation
Alfa Healthcare Solutions Inc.
Harris & King Health Services Inc
Herbert W Percival Md A Prof Corp
Pacific Central Coast Health Centers
Inferred from a shared address, not stated in the registry.
Clinicians at this address
20

Registry record

Primary taxonomy
Physical Therapy Assistant
225200000X
Licence states on file
CA
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2026-07-13

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in California