MYSTICAL KNOT, LLC (NPI# 1134335086) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1134335086 |
| Entity Type | Organization |
| Organization Name | MYSTICAL KNOT, LLC |
| Other Organization Name | SLEEP CLINIC OF FOSTER CITY |
| Practice Address |
1241 E Hillsdale Blvd Ste 2.6 Foster City CA 94404-1241 |
| Mailing Address |
5159 Blackhawk Dr Danville CA 94506-4572 |
| Practice Telephone | 9258998871 |
| Mailing Telephone | 9258998871 |
| Enumeration Date | 2007-05-15 |
| Last Update Date | 2008-04-20 |
| Authorized Official Name | MS. AILEEN UY TAN (OPERATIONS MANAGER) |
| Authorized Official Telephone | 9258998871 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 173000000X | Legal Medicine | ========= | CA | Other Service Providers |
| Other Name | Type Code |
|---|---|
| Sleep Clinic of Foster City | Doing Business As Name - Organization |
| Street Address |
1241 E HILLSDALE BLVD STE 2.6 |
| City | FOSTER CITY |
| State | CA |
| Zip Code | 94404-1241 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265484588 | Ka Wai Tam | Family Medicine | 1241 E Hillsdale Blvd, Suite 270, Foster City, CA 94404-1241 | 2006-05-16 |
| 1801301288 | Michael Keiichi Fujinaka Mda Medicalcorporation | Pain Medicine | 1241 E Hillsdale Blvd, Foster City, CA 94404-1241 | 2017-12-07 |
| 1255846762 | Apex Ambulatory Surgery Center Inc | Clinic/Center | 1241 E Hillsdale Blvd, Foster City, CA 94404-1241 | 2017-12-06 |
| 1699219493 | Bryan Loupy | Physical Therapist | 1241 E Hillsdale Blvd, #170, Foster City, CA 94404-1241 | 2016-12-13 |
| 1255731980 | Foster City Medical Center | General Practice | 1241 E Hillsdale Blvd, Suite 270, Foster City, CA 94404-1241 | 2014-08-29 |
| 1558703330 | Rajan Dave | Internal Medicine | 1241 E Hillsdale Blvd, Suite 270, Foster City, CA 94404-1241 | 2013-07-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497235709 | Kathleen Clare Tamm | Marriage & Family Therapist | 716 Coronado Lane, Foster City, CA 94404 | 2018-08-16 |
| 1699126128 | Pooja Dhir | Chiropractor | 951 Edgewater Boulevard, Suite B, Foster City, CA 94404 | 2016-06-27 |
| 1043670441 | Charlene Hsiaoching Chang | Nurse Practitioner | 987 E Hillsdale Blvd # 9879, Foster City, CA 94404 | 2016-02-26 |
| 1346605938 | Roderick Cooper | Specialist | 1108 S. El Camino Real, San Mateo, CA 94404 | 2015-12-23 |
| 1538594452 | Marie-josee Landry | Dentist | 581, Foster City Blvd, Foster City, CA 94404 | 2013-09-10 |
| 1184963852 | Jerome Nillo | Physical Therapist | 1049 Foster City Blvd., Apt C, Foster City, CA 94404 | 2013-01-31 |
| 1710230826 | Ascend Genomics, LLC | Pathology | 320 Hatch Dr, Foster City, CA 94404 | 2012-10-26 |
| 1962753533 | Qiong Chen | Acupuncturist | 885 Balboa Ln, Foster City, CA 94404 | 2012-09-24 |
| 1518226968 | Elham Attari | Physical Therapist | 808 Cortez Ln, Foster City, CA 94404 | 2012-05-04 |
| 1437451861 | Thalia Maryam Farshchian | Naturopath | 1098 Foster City Blvd Suite 305, Foster City, CA 94404 | 2010-11-17 |
| Find all providers in zip 94404 | ||||
| Taxonomy Code | 173000000X |
| Grouping | Other Service Providers |
| Classification | Legal Medicine |
| The specialty areas of medicine concerned with matters of, and relations with, substantive law and legal institutions; such as the conduct of medical examinations at crime scenes, performance of autopsies, giving of expert medical testimony in judicial proceedings, medical treatment of inmates of penal institutions, the practice of trauma medicine in law enforcement settings, and other clinical practice and medical science applications in the fields of law, law enforcement, and corrections. |
| Notes: Source: Rhea, Ott, and Shafritz, The Facts On File Dictionary of Health Care Management, New York: Facts On File Publications, 1988. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831659945 | Christopher C Duong | Legal Medicine | 2114 Pullman Ln # B, Redondo Beach, CA 90278-4914 | 2019-03-24 |
| 1538694088 | Manohar Sukumar | Legal Medicine | 601 W Civic Center Dr, 601 Civic Center Drive West, Santa Ana, CA 92701-4002 | 2017-04-21 |
| 1316471402 | Comp Legal Medical Group | Legal Medicine | 71 Bryson Dr, Sutter Creek, CA 95685-4115 | 2017-04-14 |
| 1003358375 | Globilling Inc | Legal Medicine | 5230 Las Virgenes Rd Ste 210, Calabasas, CA 91302-3448 | 2016-11-17 |
| 1124560172 | Exam-docs Dba Forensic Med Group | Legal Medicine | 960 E Alosta Ave # 203, Azusa, CA 91702-2709 | 2016-11-08 |
| 1770937393 | Lynn Barkley Burnett | Legal Medicine | 1336 N Wishon Ave, Fresno, CA 93728-2316 | 2016-04-20 |
| 1407218936 | Jose A Zepeda | Legal Medicine | 1266 Pepper Dr, El Centro, CA 92243-4302 | 2016-03-23 |
| 1912362443 | Paronian Medical Group, Inc. | Legal Medicine | 11631 Victory Blvd., Suite 105, North Hollywood, CA 91606 | 2015-12-29 |
| 1982077269 | Elite Surgical Clinic, Medical Corporation | Legal Medicine | 1510 S. Central Ave., Suite 100, Glendale, CA 91204-2582 | 2015-11-09 |
| 1669841995 | Injury Center Medical Group Inc | Legal Medicine | 432 E Redlands Blvd, Suite C, San Bernardino, CA 92408-3718 | 2015-09-16 |
| Find all providers with the same taxonomy | ||||
| City | FOSTER CITY |
| Zip Code | 94404 |
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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.