PTR SPORTS, A MEDICAL CORPORATION (NPI# 1083750764) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1083750764 |
Entity Type | Organization |
Organization Name | PTR SPORTS, A MEDICAL CORPORATION |
Practice Address |
1825 Civic Center Dr Suite 25 Santa Clara CA 95050-7301 |
Practice Telephone | 4084044700 |
Practice Fax Number | 4084044701 |
Mailing Telephone | 4084044700 |
Mailing Fax Number | 4084044701 |
Enumeration Date | 2007-01-29 |
Last Update Date | 2008-10-28 |
Authorized Official Name | JEFFREY G BLUE (PRESIDENT) |
Authorized Official Telephone | 4084044700 |
Authorized Official Credential | M.D. |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 207QS0010X |
Family Medicine Specialization: Sports Medicine |
Allopathic & Osteopathic Physicians |
Street Address |
1825 CIVIC CENTER DR SUITE 25 |
City | SANTA CLARA |
State | CA |
Zip Code | 95050-7301 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1457324931 | Donna Nissley Nchekwube | General Practice | 1825 Civic Center Dr, 17, Santa Clara, CA 95050-7301 | 2006-02-07 |
1851574289 | Jan Kenneth Klofter | Physical Therapist | 1825 Civic Center Dr, Santa Clara, CA 95050-7301 | 2007-12-07 |
1447430954 | William H Trolan Md Inc. | Clinic/Center | 1825 Civic Center Dr, Suite # 7, Santa Clara, CA 95050-7301 | 2007-11-13 |
1194917369 | E and D Nchekwube, Md, Inc | General Practice | 1825 Civic Center Dr, #17, Santa Clara, CA 95050-7302 | 2007-08-13 |
1801900220 | Jeffrey G Blue | Family Medicine | 1825 Civic Center Dr, Suite 25, Santa Clara, CA 95050-7301 | 2006-08-19 |
1568479327 | Khaliq A. Shah | Internal Medicine | 1825 Civic Center Dr, Suite 13, Santa Clara, CA 95050-7301 | 2006-08-02 |
1306819826 | Emeka J Nchekwube | Neurological Surgery | 1825 Civic Center Dr, 17, Santa Clara, CA 95050-7301 | 2006-02-08 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1902446115 | Amanda Tatiana Perez | Behavior Technician | 126. Main St, Santa Clara, CA 95050 | 2020-01-15 |
1942854013 | Beatrice M Roque | Behavior Technician | 1171 Homestead Rd Ste.250, Santa Clara, CA 95050 | 2019-07-27 |
1619433836 | Angelica Chavez | Behavioral Analyst | 1171 Homested Rd Ste 250, San Jose, CA 95050 | 2019-02-12 |
1578047551 | Tran and Nguyen Dental Corporation | Dentist | 1171 Homestead Rd Suite #214, Santa Clara, CA 95050 | 2018-09-17 |
1467938431 | Yvette Garcia | Behavioral Analyst | 1171 Homestead Ave #250, Santa Clara, CA 95050 | 2018-07-12 |
1174016117 | Kahrizak Foundation Inc. | Assisted Living Facility | 1818 Scott Blvd, Santa Clara, CA 95050 | 2018-06-13 |
1194217620 | Diana Urias | Behavioral Analyst | 1151 Homestead Rd Ste 250, Santa Clara, CA 95050 | 2018-05-31 |
1801321583 | Alexandra Araujo | Behavior Technician | 962 Reeve St, Santa Clara, CA 95050 | 2017-05-01 |
1366830127 | Christina Altemueller | Marriage & Family Therapist | 2797 Park Avenue, Suite 200, Santa Clara, CA 95050 | 2015-01-02 |
1922411503 | Olivia Brown Krakower | Speech-Language Pathologist | 1880 Pruneridge Avenue, Santa Clara, CA 95050 | 2014-06-11 |
Find all providers in zip 95050 |
Taxonomy Code | 207QS0010X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Family Medicine |
Specialization | Sports Medicine |
A family medicine physician that is trained to be responsible for continuous care in the field of sports medicine, not only for the enhancement of health and fitness, but also for the prevention of injury and illness. A sports medicine physician must have knowledge and experience in the promotion of wellness and the prevention of injury. Knowledge about special areas of medicine such as exercise physiology, biomechanics, nutrition, psychology, physical rehabilitation, epidemiology, physical evaluation, injuries (treatment and prevention and referral practice) and the role of exercise in promoting a healthy lifestyle are essential to the practice of sports medicine. The sports medicine physician requires special education to provide the knowledge to improve the health care of the individual engaged in physical exercise (sports) whether as an individual or in team participation. |
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Family Medicine, 2007. http://www.theabfm.org/. American Osteopathic Board of Family Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Medicine. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1710203245 | Malcolm Medical Group | Family Medicine | 1150 Scott Blvd Ste D1, Santa Clara, CA 95050-4547 | 2010-04-08 |
1801900220 | Jeffrey G Blue | Family Medicine | 1825 Civic Center Dr, Suite 25, Santa Clara, CA 95050-7301 | 2006-08-19 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1447875570 | Nader Sobh Inc | Family Medicine | 11740 San Vicente Blvd Ste 205, Los Angeles, CA 90049-6610 | 2020-06-15 |
1124596010 | Cam Md | Family Medicine | 1968 S Coast Hwy # 401, Laguna Beach, CA 92651-3681 | 2018-11-08 |
1902289226 | Daesoon Leem | Family Medicine | 15095 Amargosa Rd, Bldg.1, #102, Victorville, CA 92394 | 2015-07-06 |
1114313616 | Michelle Sriwongtong | Family Medicine | 834 Castro St, 3, San Francisco, CA 94114-2858 | 2015-04-10 |
1225433006 | Harut Madatovian | Family Medicine | 2595 E Washington Blvd Ste 106, Pasadena, CA 91107-1409 | 2014-10-23 |
1760801880 | Kyle William Meyer | Family Medicine | 24910 Las Brisas Rd Ste 105, Murrieta, CA 92562 | 2014-04-16 |
1720403553 | Dianne Longo | Family Medicine | 1319 Evergreen Ave, Apt N2, Fullerton, CA 92835-2063 | 2014-03-03 |
1255760633 | Steven William Marles | Family Medicine | 4265 Tapestry Way, Turlock, CA 95382-7448 | 2013-11-05 |
1497098909 | Joshua David Sampson | Family Medicine | 2299 Post St Ste 107, San Francisco, CA 94115-3460 | 2013-04-03 |
1699015529 | Andrew Saleh | Family Medicine | 1370 Rosecrans St Ste A, San Diego, CA 92106-2676 | 2013-03-01 |
Find all providers with the same taxonomy |
City | SANTA CLARA |
Zip Code | 95050 |
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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.