DOUG T OTA (NPI# 1184724999) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1184724999 |
| Entity Type | Individual |
| Full Name | DOUG T OTA |
| Credential | M.D. |
| Practice Address |
3801 Miranda Ave # Mc-128 Palo Alto CA 94304-1207 |
| Practice Telephone | 6504935000 |
| Enumeration Date | 2006-09-22 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2081P0004X |
Physical Medicine & Rehabilitation Specialization: Spinal Cord Injury Medicine |
G83604 | CA | Allopathic & Osteopathic Physicians |
| Street Address |
3801 MIRANDA AVE # MC-128 |
| City | PALO ALTO |
| State | CA |
| Zip Code | 94304-1207 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477170611 | Richard Engdahl | Specialist/Technologist, Other | 820 Quarry Road, Mc1078 Hf006, Palo Alo, CA 94304 | 2020-07-04 |
| 1720603582 | Lily Wenya Zhou | Psychiatry & Neurology | 780 Welch Road, Suite 350, Stanford Stroke Center, Palo Alto, CA 94304 | 2020-06-08 |
| 1033738521 | Perry Seo Choi | Student in an Organized Health Care Education/Training Program | Dept of Cardiothoracic Surgery, Falk Building, 870 Quarry Rd, Palo Alto, CA 94304 | 2020-04-14 |
| 1073150355 | Tara Mcdermott | Nurse Practitioner | 500 Pasteur Drive, Cardiovascular Intensive Care Unit, Palo Alto, CA 94304 | 2019-12-05 |
| 1811542723 | Mark Henry Chubb | Pediatrics | Stanford Children's Health, 725 Welch Road, Palo Alto, CA 94304 | 2019-08-07 |
| 1194285114 | Cora Steindl | Nurse Practitioner | 300 Pasteur Drive Rm H2512, Stanford, CA 94304 | 2019-03-25 |
| 1407333057 | Deborah Menet Landi | Social Worker | Lucile Packard Children's Hospital Stanford, 725 Welch, Mc 5933, Palo Alto, CA 94304 | 2018-07-26 |
| 1982100798 | Jonathan Hootman | Student in an Organized Health Care Education/Training Program | 900 Quarry Road Extension, Palo Alto, CA 94304 | 2018-04-02 |
| 1093234254 | Adam C Maclellan | Psychiatry & Neurology | Stanford Stroke Center, 780 Welch Road, Suite 350, Palo Alto, CA 94304 | 2017-09-19 |
| 1194248153 | Chanel Beaudoin Cloutier | Plastic Surgery | 770 Welch Road, Suite 400, Palo Alto, CA 94304 | 2017-07-21 |
| Find all providers in zip 94304 | ||||
| Taxonomy Code | 2081P0004X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Physical Medicine & Rehabilitation |
| Specialization | Spinal Cord Injury Medicine |
| A physician who addresses the prevention, diagnosis, treatment and management of traumatic spinal cord injury and non-traumatic etiologies of spinal cord dysfunction by working in an interdisciplinary manner. Care is provided to patients of all ages on a lifelong basis and covers related medical, physical, psychological and vocational disabilities and complications. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition changed, source added] Additional Resources: American Board of Physical Medicine and Rehabilitation, 2007. http://www.abpmr.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Physical Medicine and Rehabilitation. ACGME Accredited Residency Program Requirements: 1 year of training with 3-5 years in relevant specialty for a total of 4-6 years. ABMS Approved Subspecialty Certificate: (Physical Medicine and Rehabilitation) |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184736142 | Vandana Punj | Physical Medicine & Rehabilitation | 3801 Miranda Ave # Sci/128, Palo Alto, CA 94304-1207 | 2006-08-31 |
| 1396782405 | Roy R Sasaki | Physical Medicine & Rehabilitation | 3801 Miranda Ave, 128, Palo Alto, CA 94304-1207 | 2006-05-31 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902046287 | Kim Le | Physical Medicine & Rehabilitation | 3525 Watt Avenue, Sacramento, CA 95821 | 2009-02-26 |
| 1811137557 | Thomas L. Hedge, M.d. A Medical Corporation | Physical Medicine & Rehabilitation | 18300 Roscoe Blvd 4ifl Tower, Northridge, CA 91325-4167 | 2009-02-20 |
| 1003923020 | Inder Perkash | Physical Medicine & Rehabilitation | 813 Allardice Way, Stanford, CA 94305-1050 | 2006-08-24 |
| 1104931542 | Glenn Mark Balfour | Physical Medicine & Rehabilitation | 785 Grand Ave Ste 218, Carlsbad, CA 92008-2371 | 2006-08-19 |
| 1679533780 | Bea Medical Group, Inc. | Physical Medicine & Rehabilitation | 10070 Pasadena Ave, Ste 2, Cupertino, CA 95014-5942 | 2006-03-23 |
| 1508372772 | Sandhi Wynn | Physical Medicine & Rehabilitation | 5901 E 7th St, Long Beach, CA 90822-5201 | 2017-12-23 |
| 1245775360 | Newport Physical Medicine and Rehabilitation Inc. | Physical Medicine & Rehabilitation | 17264 Red Hill Ave, Irvine, CA 92614-5628 | 2016-12-28 |
| 1720535255 | George T Cyril M.d., Inc | Physical Medicine & Rehabilitation | 13160 Mindanao Way Ste 300, Marina Del Rey, CA 90292-6393 | 2016-09-01 |
| 1689093023 | Travis Edmiston | Physical Medicine & Rehabilitation | 7601 Imperial Hwy, Downey, CA 90242-3456 | 2014-04-14 |
| 1396005849 | Christopher V Boudakian | Physical Medicine & Rehabilitation | 2080 Century Park E, Suite 300, Los Angeles, CA 90067-2001 | 2012-05-17 |
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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.