ANDRE MARCEL ACEBO (NPI# 1083647051) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1083647051 |
| Entity Type | Individual |
| Full Name | ANDRE MARCEL ACEBO |
| Practice Address |
325 Posada Ln Suite A-c Templeton CA 93465-4003 |
| Mailing Address |
2050 S Blosser Rd Santa Maria CA 93458-7310 |
| Practice Telephone | 8055426700 |
| Practice Fax Number | 8055426791 |
| Mailing Telephone | 8053618028 |
| Mailing Fax Number | 8053618097 |
| Enumeration Date | 2006-07-10 |
| Last Update Date | 2015-04-21 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 111NS0005X |
Chiropractor Specialization: Sports Physician |
DC 20074 | CA | Chiropractic Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | FHC03884F | 05 | |
| CA | MEDICARE GROUP NUMBER | W1508 | 01 |
| CA | FHC71030F | 05 | |
| CA | CHCCC, TEMPLETON MEDICARE GROUP # | W1508A | 01 |
| CA | TEMPLETON M/CAL # | FHC70936F | 01 |
| Street Address |
325 POSADA LN SUITE A-C |
| City | TEMPLETON |
| State | CA |
| Zip Code | 93465-4003 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003340423 | Allen Avedian | Internal Medicine | 325 Posada Ln, Templeton, CA 93465-4003 | 2017-04-12 |
| 1164878773 | Duong Tran | Nurse Practitioner | 325 Posada Ln, A, Templeton, CA 93465-4003 | 2016-05-12 |
| 1164889184 | Hanna Chariz Roewer | Nurse Practitioner | 325 Posada Ln, Templeton, CA 93465-4003 | 2016-01-21 |
| 1841693538 | Solana Wooldridge | Nurse Practitioner | 325 Posada Ln, A-c, Templeton, CA 93465-4003 | 2014-10-08 |
| 1538569595 | Tracie Jane Walser | Nurse Practitioner | 325 Posada Ln, Templeton, CA 93465-4003 | 2014-08-27 |
| 1609120088 | Juan Reinosa-salmeron | Chiropractor | 325 Posada Ln, Ste A-c, Templeton, CA 93465-4003 | 2012-11-06 |
| 1851658348 | Heidi Harmon | Social Worker | 325 Posada Ln, A-c, Templeton, CA 93465-4003 | 2012-04-20 |
| 1699946376 | Daniel Lamar Willis | Family Medicine | 325 Posada Ln, A-c, Templeton, CA 93465-4003 | 2008-03-20 |
| 1134309958 | Erin Jones Bouquin | Family Medicine | 325 Posada Ln, Suites A-c, Templeton, CA 93465-4003 | 2007-11-08 |
| 1821287855 | Tara F Karp | Pediatrics | 325 Posada Ln, Templeton, CA 93465-4003 | 2007-10-16 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346773306 | Edward Delos Trino | Nurse Practitioner | 350 Posada Ln # 102, Templeton, CA 93465 | 2017-04-06 |
| 1497102883 | Miriam Castillo | Counselor | 44 Brewer St, Templeton, CA 93465 | 2016-05-16 |
| 1013395821 | Marna Moore-barr | Registered Nurse | 90 Dandelion Ln, Templeton, CA 93465 | 2015-05-12 |
| 1396007308 | Melissa Lee Gaidis | Psychologist | 225 Posada Lane, Suite L, Templeton, CA 93465 | 2012-06-14 |
| 1033418736 | Central Coast Associated Physicians, Inc. | Internal Medicine | 1220 Las Tablas Rd, Suite 1418, Templeton, CA 93465 | 2011-03-21 |
| 1922306281 | Benjamin Ernest Bartel | Counselor | 1827 Orlen Lane, Templeton, CA 93465 | 2011-03-09 |
| 1003116674 | Tiffney Taylor | Internal Medicine | 265 Posada Ln Ste B, Templeton, CA 93465 | 2010-10-28 |
| 1124355342 | Mary Christine Schaff | Nurse Practitioner | 1111 Las Tablas Rd., Ste. M, Templeton, CA 93465 | 2009-11-09 |
| 1417196890 | Liberty Michael Romig | Marriage & Family Therapist | 318 Crocker Street, Templeton, CA 93465 | 2009-02-09 |
| 1427212273 | Linda Kay Shaleen | Social Worker | 212 Main Street Suite 201, Templeton, CA 93465 | 2008-07-10 |
| Find all providers in zip 93465 | ||||
| Taxonomy Code | 111NS0005X |
| Grouping | Chiropractic Providers |
| Classification | Chiropractor |
| Specialization | Sports Physician |
| A sports chiropractor is uniquely trained to provide care and treatment of injuries or illness resulting from sports and physical fitness activities. Doctors of Chiropractic with the Diplomate American Chiropractic Board of Sports Physicians (DACBSP) or the Certified Chiropractic Sports Physician (CCSP), sport specialty certifications from the American Chiropractic Board of Sports Physicians, have advanced training in the assessment, management and rehabilitation of sports related injuries. Extremity care, rehabilitation and soft tissue procedures are common skills utilized by these doctors. The specialty training covers a broad spectrum from the pediatric athlete to professional and Olympic athletes, and everything in between, using a variety of techniques and modalities. |
| Notes: Source: American Chiropractic Board of Sports Physicians, 2009 [7/1/2009: definition added] |
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| 1932758679 | Johnnie C Morgan Iv | Chiropractor | 30423 Canwood St Ste 128, Agoura Hills, CA 91301-4314 | 2019-09-05 |
| 1386291920 | Ar'neka Montford | Chiropractor | 7109 Cardenas Way, Sacramento, CA 95828-3935 | 2019-08-19 |
| 1811459738 | Garrett Neill | Chiropractor | 4299 Macarthur Blvd Ste 102, Newport Beach, CA 92660-2019 | 2019-04-01 |
| 1952869661 | Pelofsky Sports Chiropractic | Chiropractor | 700 Wilshire Blvd Ste 510, Los Angeles, CA 90017-3863 | 2019-03-12 |
| 1790252963 | Andrew Winthrop | Chiropractor | 400 Continental Blvd Ste 6070, El Segundo, CA 90245-5076 | 2018-10-25 |
| 1497233522 | Pure Sports Medical Corporation | Chiropractor | 4300 Tradewinds Dr Ste 300, Oxnard, CA 93035-1458 | 2018-07-31 |
| 1548751951 | Jeffrey Christopher Abreu | Chiropractor | 1451 66th St, Emeryville, CA 94608-1004 | 2018-05-21 |
| 1093206641 | Ulberg Healing Choices & Chiropractic, Inc | Chiropractor | 901 Greenwich Dr, Thousand Oaks, CA 91360-6022 | 2018-05-18 |
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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.