MR. JEB M BURNS


Address: One Washington Square, San Jose, CA 95192-0001
Phone: 4089241256

MR. JEB M BURNS (NPI# 1104856624) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1104856624
Entity Type Individual
Full Name MR. JEB M BURNS
Credential ATC
Practice Address One Washington Square
San Jose
CA 95192-0001
Mailing Address 4872 Speak Ln
San Jose
CA 95118-3712
Practice Telephone 4089241256
Enumeration Date 2006-07-03
Last Update Date 2007-07-08
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 2255A2300X Specialist/Technologist
Specialization: Athletic Trainer
Respiratory, Developmental, Rehabilitative and Restorative Service Providers

Office Location

Street Address ONE WASHINGTON SQUARE
City SAN JOSE
State CA
Zip Code 95192-0001

Providers in the same location

NPI Name Taxonomy Address Enumeration
1306313085 Masaaki Tsuruike Preventive Medicine One Washington Square, San Jose, CA 95192-0054 2018-10-31

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1093326324 Kyungmo Han Specialist/Technologist Department of Kinesiology One Washington Square, San Jose, CA 95192-0001 2020-08-11
1558589382 Barbara Fu Internal Medicine Sjsu Shc One Washington Sq, San Jose, CA 95192-0001 2007-04-24
1598702136 Jeffrey James Roberts Specialist/Technologist San Jose State University, Department of Kinesiology, San Jose, CA 95192-0001 2006-06-01
1013246628 Roger Karlsson Psychologist Department of Psychology, 1 Washington Sq, San Jose, CA 95192-0001 2009-12-09
1144361338 Erin M Coleman Specialist/Technologist 1 Washington Sq, San Jose, CA 95192-0001 2007-02-09
1679679179 Scott Lieberman Radiology 1 Washington Sq, Ste Hb103, San Jose, CA 95192-0001 2006-09-15
1639203755 Harry John Cornbleet Internal Medicine San Jose State University Student Health Ctr, 1 Washington Sq, San Jose, CA 95192-0037 2007-03-14
1457534968 San Jose State University Student Health Center Clinic/Center 1 Washington Sq, San Jose, CA 95192-0037 2007-12-07
1124230008 Robert Laurence Kronisch Family Medicine San Jose State University Student Health Ctr, One Washington Square, San Jose, CA 95192-0037 2007-05-04
1295952711 Nancy Marie Nuzzolillo Nurse Practitioner 1 Washington Sq, San Jose, CA 95192-0037 2007-04-18
Find all providers in zip 95192

Taxonomy Information

Taxonomy Code 2255A2300X
Grouping Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Classification Specialist/Technologist
Specialization Athletic Trainer

Taxonomy Definition

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]

Providers in the same taxonomy and city

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
1063909190 Mayuresh Nandkeolyar Specialist/Technologist 5460 Don Diablo Ct, San Jose, CA 95123-3113 2018-04-14
1164929873 Catherine English Specialist/Technologist 850 The Alameda Ste 20, San Jose, CA 95126-3146 2018-04-09
Find all providers in SAN JOSE

Competitor

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City SAN JOSE
Zip Code 95192

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Dataset Information

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.

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