BRENDA MADSEN (NPI# 1114078946) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1114078946 |
Entity Type | Individual |
Full Name | BRENDA MADSEN |
Credential | DPT |
Practice Address |
18102 Irvine Blvd Suite 207 Tustin CA 92780-3402 |
Mailing Address |
20301 Bluffside Cir #113 Huntington Beach CA 92646-8521 |
Practice Telephone | 7145052966 |
Practice Fax Number | 7145052976 |
Enumeration Date | 2007-01-16 |
Last Update Date | 2007-07-08 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 2251X0800X |
Physical Therapist Specialization: Orthopedic |
PT24447 | CA | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Street Address |
18102 IRVINE BLVD SUITE 207 |
City | TUSTIN |
State | CA |
Zip Code | 92780-3402 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1902891252 | Cynthia Ann Cohen | Nurse Practitioner | 18102 Irvine Blvd, Suite 105, Tustin, CA 92780-3402 | 2005-09-13 |
1366781882 | Marlene Alexander Miller | Dentist | 18102 Irvine Blvd, Suite #203, Tustin, CA 92780-3402 | 2013-02-04 |
1992066302 | Andy Quoc Tran | Physical Therapist | 18102 Irvine Blvd, Suite 207, Tustin, CA 92780-3402 | 2012-06-01 |
1639444292 | Miguel Dominguez Md, A Professional Corporation | Non-Pharmacy Dispensing Site | 18102 Irvine Blvd, Ste 208, Tustin, CA 92780-3402 | 2012-03-15 |
1255608543 | Morvarid Madani | Dentist | 18102 Irvine Blvd, Suite 200, Tustin, CA 92780-3402 | 2011-11-30 |
1801196514 | Dimple Manchandia Dds, Inc | Dentist | 18102 Irvine Blvd, Suite 200, Tustin, CA 92780-3402 | 2010-10-27 |
1871734285 | Frank R. Villalobos | Internal Medicine | 18102 Irvine Blvd, Suite 103, Tustin, CA 92780-3402 | 2009-03-13 |
1720247455 | Pulmonary Consultants and Primary Care Physicians Medical Group, Inc. | Family Medicine | 18102 Irvine Blvd, Suite 105, Tustin, CA 92780-3402 | 2008-06-06 |
1598943946 | Uzma Nasim Md Inc | Psychiatry & Neurology | 18102 Irvine Blvd, # 206, Tustin, CA 92780-3402 | 2008-02-07 |
1639368251 | Clifford M Phipps | Dentist | 18102 Irvine Blvd, Ste #210, Tustin, CA 92780-3402 | 2007-10-19 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1437780947 | John Michael Michael | Pharmacist | 14481 Wildeve Ln, Tustin, CA 92780 | 2020-02-03 |
1609426881 | Abigail Joy Maqsood | Behavior Technician | 290a S Prospect Ave, Tustin, CA 92780 | 2019-09-19 |
1255814711 | Hyun Dong Lee | Chiropractor | 14591 Newport Ave Ste 106, Tustin, CA 92780 | 2018-09-11 |
1346733573 | Elizabeth Kim Nguyen Dds Inc | Clinic/Center | 14521 Red Hill Ave, Tustin, CA 92780 | 2018-06-12 |
1255829503 | Hw Physical Therapy | Physical Therapist | 250 El Camino Real Ste 100, Tustin, CA 92780 | 2018-04-23 |
1912494352 | Gary Wayne Mcbeath | Marriage & Family Therapist | 17821 E 17th Street, Suite # 260, Tustin, CA 92780 | 2018-04-20 |
1104334598 | Catherine Bogues | Speech-Language Pathologist | 661 West 1st Street, Suite E, Tustin, CA 92780 | 2018-01-19 |
1972019941 | Lighthouse Behavioral Solutions | Behavioral Analyst | 18002 Irvine Blvd., Suite 202c, Tustin, CA 92780 | 2017-12-28 |
1629597299 | Lifecab, LLC | Non-emergency Medical Transport (VAN) | 13732 Newport Ave, Suite #1, Tustin, CA 92780 | 2017-09-14 |
1437606555 | Tustin Speech Therapy, Inc. | Speech-Language Pathologist | 661 West First Street, Suite E, Tustin, CA 92780 | 2016-09-07 |
Find all providers in zip 92780 |
Taxonomy Code | 2251X0800X |
Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Classification | Physical Therapist |
Specialization | Orthopedic |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1255829503 | Hw Physical Therapy | Physical Therapist | 250 El Camino Real Ste 100, Tustin, CA 92780 | 2018-04-23 |
1699022111 | Brian Byoungsoo Kim | Physical Therapist | 1962 Roanoke Ave, Tustin, CA 92780-6635 | 2012-08-15 |
1689745853 | Sonia Delgado Armbruster | Physical Therapist | 17321 17th St, Tustin, CA 92780-7919 | 2006-11-10 |
1376189175 | Hana Mae James | Physical Therapist | 250 El Camino Real Ste 100, Tustin, CA 92780-3655 | 2019-11-27 |
1124532171 | Allea Jewel Francis | Physical Therapist | 13891 Newport Ave Ste 285, Tustin, CA 92780-7840 | 2017-11-29 |
1528476165 | Rehab and Revive Physical Therapy Inc. | Physical Therapist | 14661 Myford Rd, Suite C, Tustin, CA 92780-7205 | 2014-07-28 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1568063311 | Kayla Utley | Physical Therapist | 5201 Norris Canyon Rd Ste 230, San Ramon, CA 94583-5405 | 2020-11-06 |
1184225054 | Vuk Ekmecic | Physical Therapist | 7908 Rancho Fanita Dr Spc 23, Santee, CA 92071-3421 | 2020-11-05 |
1932700283 | Christopher Lui | Physical Therapist | 21621 E Bluebell Ct, Walnut, CA 91789-1443 | 2020-11-03 |
1952900789 | Sierra Speck | Physical Therapist | 11701 Wilshire Blvd Ste 14b1, Los Angeles, CA 90025-1547 | 2020-10-22 |
1992312086 | Heidi Lynne Anders | Physical Therapist | 5805 W 8th St Apt 205, Los Angeles, CA 90036-4576 | 2020-09-23 |
1578176780 | Patricia Isabella Commer | Physical Therapist | 4146 Randolph Ave, Oakland, CA 94602-1314 | 2020-08-26 |
1376151126 | Yifu Zhou | Physical Therapist | 1625 W Olympic Blvd Ste 790, Los Angeles, CA 90015-3809 | 2020-07-17 |
1033732250 | Sync Physical Therapy & Yoga Inc | Physical Therapist | 5100 Marlborough Dr Ste 101, San Diego, CA 92116-2020 | 2020-05-21 |
1043830961 | Dr. Holly Physical Therapy | Physical Therapist | 4500 Shepard St, Bakersfield, CA 93313-2326 | 2020-04-21 |
1861011744 | Lauren Jarmusz | Physical Therapist | 1107 2nd Ave Apt 408, Redwood City, CA 94063-4036 | 2020-04-10 |
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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.