MR. DICK GIN (NPI# 1295784783) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1295784783 |
| Entity Type | Individual |
| Full Name | MR. DICK GIN |
| Credential | ATC |
| Practice Address |
1545 Higuera Street San Luis Obispo CA 93401 |
| Mailing Address |
2663 Meadow Street San Luis Obispo CA 93401 |
| Practice Telephone | 8055435633 |
| Practice Fax Number | 8055435990 |
| Mailing Telephone | 8055411175 |
| Mailing Fax Number | 8055435633 |
| Enumeration Date | 2006-05-10 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | X |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2255A2300X |
Specialist/Technologist Specialization: Athletic Trainer |
CA | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
1545 HIGUERA STREET |
| City | SAN LUIS OBISPO |
| State | CA |
| Zip Code | 93401 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497228399 | Barbara Jean Morrow | Dental Hygienist | 2191 Johnson Avenue, San Luis Obispo, CA 93401 | 2019-01-03 |
| 1104307743 | Griffith Jennings | Counselor | 1225 Kendal Rd, San Luis Obispo, CA 93401 | 2018-08-22 |
| 1124518808 | Joy L Delaluna | Licensed Psychiatric Technician | 692 Evens Rd, San Luis Obispo, CA 93401 | 2018-05-17 |
| 1982192084 | Sierra Mental Wellness Group | Community/Behavioral Health | 2180 B Johnson Avenue, San Luis Obispo, CA 93401 | 2018-04-25 |
| 1326554403 | Veronica Chanel Laguna | Case Manager/Care Coordinator | 1065 Kansas Ave., San Luis Obispo, CA 93401 | 2017-12-27 |
| 1043739782 | Janette Lynn Branca | Case Manager/Care Coordinator | 285 South Street, Suit J, San Louis Obispo, CA 93401 | 2017-09-13 |
| 1588194104 | Adv Vision LLC | Optometrist | 835 Aero Vista Pl, #110, San Luis Obispo, CA 93401 | 2017-06-15 |
| 1508395880 | Samantha Clay | Counselor | 1255 Kendall Road, San Luis Obispo, CA 93401 | 2017-06-08 |
| 1659804771 | Sara Anne Powers | Counselor | 697 Higuera Street D, San Luis Obispo, CA 93401 | 2017-04-05 |
| 1508306010 | Russell Piazza | Pharmacist | 873 Ricardo Court, San Luis Obispo, CA 93401 | 2017-03-02 |
| Find all providers in zip 93401 | ||||
| Taxonomy Code | 2255A2300X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Specialist/Technologist |
| Specialization | Athletic Trainer |
| Athletic trainers are allied health care professionals who work in consultation with or under the direction of physicians, and specialize in the prevention, assessment, treatment and rehabilitation of injuries and illnesses. Currently, the entry-level employment requirements are a bachelor’s degree with a major in athletic training from an accredited university or college. A majority of athletic trainers hold advanced degrees. National board certification is generally required as a condition of state licensure and employment. Most states regulate athletic trainers, and they practice within the scope of that license or regulation. Clinical practice includes emergency care, rehabilitation, reconditioning, therapeutic exercise, wellness programs, exercise physiology, kinesiology, biomechanics, nutrition, psychology and health care administration. |
| Notes: Source: National Athletic Trainers’ Association (www.NATA.org) [1/1/2006: modified definition, modified source] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114473881 | Brittany Bauer | Specialist/Technologist | Ca Highway 1, San Luis Obispo, CA 93403 | 2016-08-31 |
| 1649675901 | Anthony Vincent Geiger Jr. | Specialist/Technologist | 7400, Highway One, Shipping/receiving, Building, San Luis Obispo, CA 93405-8106 | 2014-10-29 |
| 1508286428 | Megan Ashley Swanlund | Specialist/Technologist | 1106 Walnut St # 110, San Luis Obispo, CA 93401-2416 | 2014-04-17 |
| 1316261340 | Ashley R Vogds | Specialist/Technologist | 977 Capistrano Ct, San Luis Obispo, CA 93405-6151 | 2010-03-19 |
| 1194963330 | Amanda Jane Snyder | Specialist/Technologist | 682 Palm St, San Luis Obispo, CA 93401-3518 | 2009-01-27 |
| 1659592756 | Connie Gold Stevenson | Specialist/Technologist | 2045 Slack St, San Luis Obispo, CA 93405 | 2007-05-02 |
| 1871619957 | Tyson Allies | Specialist/Technologist | 5265 Edna Rd, San Luis Obispo, CA 93401-7986 | 2007-03-21 |
| 1568492924 | Lisa M Friesen | Specialist/Technologist | 804 Aerovista Pl, San Luis Obispo, CA 93401-7906 | 2006-07-03 |
| 1972561728 | Keri Ann Eichenberger | Specialist/Technologist | 1 Grand Ave, Cp Athletics, San Luis Obispo, CA 93401 | 2006-05-02 |
| 1902928542 | Raechel Nicole Cunningham | Specialist/Technologist | 1 Grand Ave, San Luis Obispo, CA 93407-9000 | 2007-04-04 |
| Find all providers in SAN LUIS OBISPO | ||||
| City | SAN LUIS OBISPO |
| Zip Code | 93401 |
Please comment or provide details below to improve the information on MR. DICK GIN.
| 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.