DIRECT HEALTH MEDICAL CENTER, INC. (NPI# 1164742649) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1164742649 |
| Entity Type | Organization |
| Organization Name | DIRECT HEALTH MEDICAL CENTER, INC. |
| Other Organization Name | SAN DIEGO SPINE & REHAB |
| Practice Address |
3772 Mission Ave Suite 122 Oceanside CA 92058-1453 |
| Practice Telephone | 7606308400 |
| Practice Fax Number | 7606308594 |
| Mailing Telephone | 7606308400 |
| Mailing Fax Number | 7606308594 |
| Enumeration Date | 2010-06-07 |
| Last Update Date | 2010-07-29 |
| Authorized Official Name | DR. BRETT K. ALLAN (PRESIDENT) |
| Authorized Official Telephone | 7606308400 |
| Authorized Official Credential | D.C. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2081S0010X |
Physical Medicine & Rehabilitation Specialization: Sports Medicine |
2081S0010X | CA | Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| San Diego Spine & Rehab | Doing Business As Name - Organization |
| Street Address |
3772 MISSION AVE SUITE 122 |
| City | OCEANSIDE |
| State | CA |
| Zip Code | 92058-1453 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396843587 | Joshua M Telsey | Physical Therapist | 3772 Mission Ave, Suite 120, Oceanside, CA 92058-1453 | 2006-09-20 |
| 1548638703 | Starlight Weiderman-tyrrell | Physical Therapist | 3772 Mission Ave, Suite 120, Oceanside, CA 92058-1453 | 2015-09-04 |
| 1770966020 | Tiffany Lee Stangl | Hearing Instrument Specialist | 3772 Mission Ave, Suite 117, Oceanside, CA 92058-1453 | 2015-07-06 |
| 1972980571 | Kevin Blanchard | Physical Therapist | 3772 Mission Ave, Suite 122, Oceanside, CA 92058-1453 | 2015-05-04 |
| 1740588649 | Jennifer Nicole Cirillo | Chiropractor | 3772 Mission Ave, Oceanside, CA 92058-1453 | 2011-03-02 |
| 1649417106 | Jossue Ortiz | Chiropractor | 3772 Mission Ave, Ste 122, Oceanside, CA 92058-1453 | 2009-01-20 |
| 1316060098 | Jafar Kaydashti Zadeh | Physician Assistant | 3772 Mission Ave, Suite 122, Oceanside, CA 92058-1453 | 2007-04-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508463555 | Michael William Baker | Dental Hygienist | 14th St., Oceanside, CA 92058 | 2020-10-02 |
| 1548877004 | Juliaisa Gisselle Caldero | Dental Assistant | Bldg 13128, Oceanside, CA 92058 | 2020-09-29 |
| 1932715836 | Leilani Viveros | Behavior Technician | 251 Airprort Road, Oceanside, CA 92058 | 2020-09-17 |
| 1043835952 | Emma Caitlin Johnson | Dentist | 92055 14th St, Bldg 13128, Oceanside, CA 92058 | 2020-06-16 |
| 1073135836 | Roxana Ivette Rodriguez | Military Health Care Provider | 22190 Marine Dr, Oceanside, CA 92058 | 2020-05-14 |
| 1699307744 | Rachael Bousman | Specialist/Technologist | 13129 14th St, Area 13, Camp Pendleton, CA 92058 | 2020-02-06 |
| 1811528359 | Misaael Valdes | Military Health Care Provider | Building, B St, Oceanside, CA 92058 | 2020-02-03 |
| 1497385736 | Phong Thanh Tran | Dental Hygienist | 599 A Ave #501, Oceanside, CA 92058 | 2020-01-24 |
| 1245796366 | Christian Thompson | Physician Assistant | 1st Med Bn, Camp Pendleton, Oceanside, CA 92058 | 2019-02-13 |
| 1104308568 | Caila Martin | Behavior Technician | 293 Douglas Dr Apt. 272, Oceanside, CA 92058 | 2018-09-02 |
| Find all providers in zip 92058 | ||||
| Taxonomy Code | 2081S0010X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Physical Medicine & Rehabilitation |
| Specialization | Sports Medicine |
| A physician who specializes in Sports Medicine is responsible for continuous care related to the enhancement of health and fitness as well as the prevention of injury and illness. The specialist possesses knowledge and experience in the promotion of wellness and the prevention of injury from many areas of medicine such as exercise physiology, biomechanics, nutrition, psychology, physical rehabilitation, epidemiology, physical evaluation and injuries. It is the goal of a Sports Medicine specialist to improve the healthcare of the individual engaged in physical exercise. |
| Notes: Source: American Board of Medical Specialties, 2009. www.abms.org [7/1/2009: definition added] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104452283 | Stephen Derrington, Do Inc | Physical Medicine & Rehabilitation | 3142 Vista Way Ste 206, Oceanside, CA 92056-3628 | 2020-03-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518578186 | Tracy Tran Physical Therapy | Physical Medicine & Rehabilitation | 5166 Eagle Rock Blvd, Los Angeles, CA 90041-1115 | 2020-08-16 |
| 1255969143 | Amber Renee Debarge | Physical Medicine & Rehabilitation | 2918 Havasupai Ave, San Diego, CA 92117-1641 | 2020-03-28 |
| 1932734969 | Jasmine Angelina Velasquez | Physical Medicine & Rehabilitation | 12017 Herbert St, Los Angeles, CA 90066-5201 | 2020-03-10 |
| 1275165979 | Coastal Regenerative Orthopedics & Wellness Center Inc. | Physical Medicine & Rehabilitation | 11772 Sorrento Valley Rd Ste 100, San Diego, CA 92121-1016 | 2020-02-10 |
| 1679110407 | Drew Yoder | Physical Medicine & Rehabilitation | Chase Center - Bbops, 1 Warriors Way, San Francisco, CA 94158 | 2019-11-27 |
| 1841831864 | Olivia Carmen Smith | Physical Medicine & Rehabilitation | 2439 Country Club Dr, Glendora, CA 91741-4009 | 2019-10-01 |
| 1538719521 | Kyle Watry | Physical Medicine & Rehabilitation | 550 15th St Ste 36a, San Francisco, CA 94103-5032 | 2019-09-12 |
| 1023679826 | Adrianna Medina | Physical Medicine & Rehabilitation | 279 E Orlando Way, Covina, CA 91723-3016 | 2019-06-24 |
| 1316505563 | Restore The Machine - Physical Therapy Inc | Physical Medicine & Rehabilitation | 23332 Hawthorne Blvd Ste 202, Torrance, CA 90505-3767 | 2019-06-03 |
| 1881163889 | Gaylen Mcginn | Physical Medicine & Rehabilitation | 724 W Maple Ave Apt A, Orange, CA 92868-5022 | 2018-11-19 |
| Find all providers with the same taxonomy | ||||
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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.