Provider Demographics
NPI:1659717650
Name:JOHN DINAKARAN
Entity Type:Organization
Organization Name:JOHN DINAKARAN
Other - Org Name:FIRST STEP PHYSICAL THERAPY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:JOHN
Authorized Official - Middle Name:
Authorized Official - Last Name:DINAKARAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:949-201-6897
Mailing Address - Street 1:1000 SUNRISE AVE
Mailing Address - Street 2:SUITE 6A
Mailing Address - City:ROSEVILLE
Mailing Address - State:CA
Mailing Address - Zip Code:95661-7005
Mailing Address - Country:US
Mailing Address - Phone:916-786-7837
Mailing Address - Fax:916-786-7844
Practice Address - Street 1:1000 SUNRISE AVE
Practice Address - Street 2:SUITE 6A
Practice Address - City:ROSEVILLE
Practice Address - State:CA
Practice Address - Zip Code:95661-7005
Practice Address - Country:US
Practice Address - Phone:916-786-7837
Practice Address - Fax:916-786-7844
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-05-16
Last Update Date:2013-10-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA045176261QP2000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2000XAmbulatory Health Care FacilitiesClinic/CenterPhysical Therapy