JACQLYN FENTON (NPI# 1245668987) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1245668987 |
| Entity Type | Individual |
| Full Name | JACQLYN FENTON |
| Credential | DPT |
| Practice Address |
800 S Claremont St Suite 106 San Mateo CA 94402-1451 |
| Practice Telephone | 6506854800 |
| Enumeration Date | 2013-10-16 |
| Last Update Date | 2016-08-09 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2251X0800X |
Physical Therapist Specialization: Orthopedic |
40561 | CA | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
800 S CLAREMONT ST SUITE 106 |
| City | SAN MATEO |
| State | CA |
| Zip Code | 94402-1451 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902829690 | Marina Turner | Physical Therapist | 800 S Claremont St, Suite 106, San Mateo, CA 94402-1451 | 2006-07-25 |
| 1396386470 | Carmen Contreras-jeronimo | Behavior Technician | 800 S Claremont St, San Mateo, CA 94402-1451 | 2019-09-30 |
| 1316598881 | Emily Herrera | Behavior Technician | 800 S Claremont St, San Mateo, CA 94402-1451 | 2019-09-25 |
| 1902365133 | Keith Librado Suguitan | Behavior Technician | 800 S Claremont St, San Mateo, CA 94402-1451 | 2019-03-18 |
| 1497220867 | Mahalia L Balunsat | Behavioral Analyst | 800 S Claremont St, San Mateo, CA 94402-1451 | 2018-10-11 |
| 1336474725 | M. Turner, Inc. | Physical Therapist | 800 S Claremont St, Suite 106, San Mateo, CA 94402-1451 | 2009-10-02 |
| 1871771428 | Andrea M Hermosillo-hahn | Physical Therapist | 800 S Claremont St, Suite #102, San Mateo, CA 94402-1451 | 2008-02-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477154227 | Mark Cameron Head | Non-emergency Medical Transport (VAN) | 331 Sonora Drive, San Mateo, CA 94402 | 2020-11-06 |
| 1669032868 | County of San Mateo | Clinic/Center | 222 Paul Scannell Dr., San Mateo, CA 94402 | 2019-06-19 |
| 1417443755 | Suen Leung | Counselor | 800 Edinburgh St, San Mateo, CA 94402 | 2018-07-10 |
| 1760997902 | Blue Lotus Connection | Point of Service | 1700 S Amphlett Blvd, Ste 250b, San Mateo, CA 94402 | 2017-12-11 |
| 1982122503 | Madeline Pielert | Social Worker | 1670 S. Amphlett Blvd. 115, San Mateo, CA 94402 | 2017-09-04 |
| 1629512348 | Travis Woodmansee | Marriage & Family Therapist | 419 S El Dorado St, San Mateo, CA 94402 | 2016-12-14 |
| 1669820858 | Mohan Sundareson | Pediatrics | 1638 South Grant St, San Mateo, CA 94402 | 2016-05-27 |
| 1457712572 | New Life Acupuncture Clinic | Acupuncturist | 1720 South Amphlett Blvd # 168, San Mateo, CA 94402 | 2016-03-17 |
| 1871951434 | Nanami Oba | Physical Therapy Assistant | 20 Bennigton Dr., San Mateo, CA 94402 | 2016-02-10 |
| 1780059733 | Adrianna Cimera | Behavioral Analyst | 1710 South Amphlett Blvd, Suite 314, San Mateo, CA 94402 | 2015-12-02 |
| Find all providers in zip 94402 | ||||
| Taxonomy Code | 2251X0800X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Physical Therapist |
| Specialization | Orthopedic |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265689434 | Caron Melba Bush | Physical Therapist | 700 S Claremont St Ste 105, San Mateo, CA 94402-1447 | 2008-08-19 |
| 1548350622 | Gail Hori Yip | Physical Therapist | 424 N San Mateo Dr Ste 1, San Mateo, CA 94401-2491 | 2006-10-13 |
| 1902906696 | Carol Ann Ludwig | Physical Therapist | 424 N San Mateo Dr, 100, San Mateo, CA 94401-2491 | 2006-09-23 |
| 1447887856 | Michelle Wong | Physical Therapist | 222 W 39th Ave, San Mateo, CA 94403-4364 | 2020-03-25 |
| 1538726377 | Ayurbliss,llc | Physical Therapist | 407 N San Mateo Dr, San Mateo, CA 94401-2417 | 2019-05-28 |
| 1740525948 | Michael Thomas Chin | Physical Therapist | 1810 Gateway Dr Ste 110, San Mateo, CA 94404-2470 | 2012-11-29 |
| 1528168218 | Peninsula Spine Education &treatment Center | Physical Therapist | 424 N San Mateo Dr, 100, San Mateo, CA 94401-2491 | 2006-09-23 |
| 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 |
| 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.