Individual provider · Type 1 NPI

Jared Dylan Canonigo

Student in an Organized Health Care Education/Training Program · Palo Alto, CA

NPI number 1043188675 Active

Practice location

725 Welch Rd Uppr 650-497
Palo Alto, CA 94304-1601

Call (479) 790-9413 Map

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1043188675

Jared Dylan Canonigo's National Provider Identifier is 1043188675, issued on Oct 27, 2025. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Palo Alto, CA. The record was last updated on May 1, 2026.