MAYURESH NANDKEOLYAR (NPI# 1063909190) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1063909190 |
| Entity Type | Individual |
| Full Name | MAYURESH NANDKEOLYAR |
| Practice Address |
5460 Don Diablo Ct San Jose CA 95123-3113 |
| Practice Telephone | 4084642030 |
| Enumeration Date | 2018-04-14 |
| Last Update Date | 2018-04-14 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2255A2300X |
Specialist/Technologist Specialization: Athletic Trainer |
Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
5460 DON DIABLO CT |
| City | SAN JOSE |
| State | CA |
| Zip Code | 95123-3113 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700441045 | Calvin Patrick Nell | Chiropractor | 5570 Sanchez Drive, Ste 100, San Jose, CA 95123 | 2019-05-02 |
| 1629557152 | Jia Tian | Dentist | 393 Blossom Hill Rd Ste 150, San Jose, CA 95123 | 2018-08-06 |
| 1003306176 | Western Dental Services, Inc. | Dentist | 451 Blossom Hill Rd Suite 20, San Jose, CA 95123 | 2018-05-15 |
| 1871004945 | Luxottica of America Inc | Eyewear Supplier (Equipment, not the service) | 5411 Thornwood Dr, San Jose, CA 95123 | 2017-10-17 |
| 1437672953 | Mie Mie Chiu | Dietitian, Registered | 276 Palm Valley Blvd #205, San Jose, CA 95123 | 2017-07-18 |
| 1902335300 | Alfredo Fernandez | Counselor | 5898 Paddon Circle, San Jose, CA 95123 | 2017-06-08 |
| 1780115444 | Christopher Vi Tran | Case Manager/Care Coordinator | 5579 Lean Avenue, San Jose, CA 95123 | 2017-03-24 |
| 1205370004 | Linxi Wu | Acupuncturist | 6064 Cahalan Ave, San Jose, CA 95123 | 2016-12-13 |
| 1013307651 | Kevin Dizon | Dental Hygienist | 6071 Sunstone Drive, San Jose, CA 95123 | 2015-02-04 |
| 1285031294 | Katie Tran | Dental Assistant | 524 Glenburry Way, San Jose, CA 95123 | 2014-11-20 |
| Find all providers in zip 95123 | ||||
| Taxonomy Code | 2255A2300X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Specialist/Technologist |
| Specialization | Athletic Trainer |
| Athletic trainers are allied health care professionals who work in consultation with or under the direction of physicians, and specialize in the prevention, assessment, treatment and rehabilitation of injuries and illnesses. Currently, the entry-level employment requirements are a bachelor’s degree with a major in athletic training from an accredited university or college. A majority of athletic trainers hold advanced degrees. National board certification is generally required as a condition of state licensure and employment. Most states regulate athletic trainers, and they practice within the scope of that license or regulation. Clinical practice includes emergency care, rehabilitation, reconditioning, therapeutic exercise, wellness programs, exercise physiology, kinesiology, biomechanics, nutrition, psychology and health care administration. |
| Notes: Source: National Athletic Trainers’ Association (www.NATA.org) [1/1/2006: modified definition, modified source] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093326324 | Kyungmo Han | Specialist/Technologist | Department of Kinesiology One Washington Square, San Jose, CA 95192-0001 | 2020-08-11 |
| 1518587021 | Scott Allen Zimmerman | Specialist/Technologist | 5000 Mitty Way, San Jose, CA 95129-1868 | 2020-04-24 |
| 1407406788 | Binh Hung Ton-that | Specialist/Technologist | 4198 Gion Ave, San Jose, CA 95127-1908 | 2019-09-18 |
| 1184279226 | Tanner Fowler | Specialist/Technologist | 1306 The Alameda Apt 221, San Jose, CA 95126-5014 | 2019-08-06 |
| 1447804521 | Michael Tai Tang | Specialist/Technologist | 424 S 7th St, San Jose, CA 95112-3809 | 2019-07-28 |
| 1376001784 | Wilson Hsieh | Specialist/Technologist | 4648 Park Milford Pl, San Jose, CA 95136-2521 | 2019-03-05 |
| 1376012948 | Theresa Ortiz | Specialist/Technologist | 796 Amanda Dr, San Jose, CA 95136-1909 | 2018-11-13 |
| 1073091625 | Rachel Ann Vaccaro | Specialist/Technologist | 1539 Hervey Ln, San Jose, CA 95125-1849 | 2018-08-04 |
| 1164929873 | Catherine English | Specialist/Technologist | 850 The Alameda Ste 20, San Jose, CA 95126-3146 | 2018-04-09 |
| 1619477494 | Gretchen Marie Rodenberger | Specialist/Technologist | 2449 Shibley Ave, San Jose, CA 95125-4070 | 2018-02-18 |
| Find all providers in SAN JOSE | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.