MR. JEFFREY DAVENPORT FERGUSON


Address: 4949 Centennial Blvd, Santa Clara, CA 95054-1229
Phone: 4085624947

MR. JEFFREY DAVENPORT FERGUSON (NPI# 1326389271) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1326389271
Entity Type Individual
Full Name MR. JEFFREY DAVENPORT FERGUSON
Credential ATC
Practice Address 4949 Centennial Blvd
Santa Clara
CA 95054-1229
Practice Telephone 4085624947
Practice Fax Number 4087271312
Mailing Telephone 4085624947
Mailing Fax Number 4087271312
Enumeration Date 2013-03-01
Last Update Date 2013-03-01
Gender Code M
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 2255A2300X Specialist/Technologist
Specialization: Athletic Trainer
Respiratory, Developmental, Rehabilitative and Restorative Service Providers

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Office Location

Street Address 4949 CENTENNIAL BLVD
City SANTA CLARA
State CA
Zip Code 95054-1229

Providers in the same location

NPI Name Taxonomy Address Enumeration
1871784983 Joshua Tharyn Sims Specialist/Technologist 4949 Centennial Blvd, Santa Clara, CA 95054-1229 2007-08-05
1699016543 Emmanuel Rivera Specialist/Technologist 4949 Centennial Blvd, Santa Clara, CA 95054-1229 2013-03-01

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1629621552 Pushpa Bhandari Behavior Technician 3170 De Lacruz Blvd, Suite 107, Santa Clara, CA 95054 2019-07-19
1275001679 Janet Johnston-tyler Counselor 4655 Old Ironsides Dr., Suite 170, Santa Clara, CA 95054 2018-11-05
1184106643 Sunshine Acupuncture & Healthcare Acupuncturist 3350 Scott Blvd., #28-2, Santa Clara, CA 95054 2018-08-31
1538654496 Molly Delaney Speech-Language Pathologist 4701 Patrick Henry Dr., Bldg 23 Suite D, Santa Clara, CA 95054 2018-06-24
1255826111 Jordan Moore Speech-Language Pathologist 4701 Patrick Henry Dr., Bldg 23, Suite D, Santa Clara, CA 95054 2018-06-24
1073008934 Tanya Guerrero Speech-Language Pathologist 4701 Patrick Henry Drive., Bldg 23, Suite D, Santa Clara, CA 95054 2018-06-24
1366931305 Jacqueline Genna Speech-Language Pathologist 4701 Patrick Henry Drive, Bldg 23 Suite D, Santa Clara, CA 95054 2018-05-04
1386131886 Angel Raynetta Stevens Behavior Technician 3170 Dela Cruz Blvd., Ste 107, Santa Clara, CA 95054 2018-04-19
1528567468 Ledia Mati Chiropractor 3700 Thomas Rd Ste 207, Santa Clara, CA 95054 2018-02-06
1982133310 Hien Tue Nguyen Pharmacist 3970 Rivermark Plaza, Santa Clara, CA 95054 2017-06-08
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Taxonomy Information

Taxonomy Code 2255A2300X
Grouping Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Classification Specialist/Technologist
Specialization Athletic Trainer

Taxonomy Definition

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]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1548806151 Saul Zendejas Specialist/Technologist 3000 Mission College Blvd, Santa Clara, CA 95054-1804 2019-11-19
1568967164 Christine Maria James Specialist/Technologist 664 Nicholson Ave, Santa Clara, CA 95051-5730 2018-03-26
1699285965 Andrew Hyun Soo Chang Specialist/Technologist 1770 Hillebrant Pl, Santa Clara, CA 95050-3750 2017-10-02
1487196648 Andrew Mccabe Specialist/Technologist 1550 Market St Apt 6, Santa Clara, CA 95050-5371 2016-11-04
1528442530 Marielle Louise L'heureux Specialist/Technologist 3374 Princeton Ct, Santa Clara, CA 95051-5520 2015-07-20
1396152856 Jonathan Marques Specialist/Technologist 2303 Mission Glen Dr, Santa Clara, CA 95051-1214 2014-07-16
1871784983 Joshua Tharyn Sims Specialist/Technologist 4949 Centennial Blvd, Santa Clara, CA 95054-1229 2007-08-05
1659460673 Elizabeth Joy Gilmore Specialist/Technologist 500 El Camino Real, Santa Clara, CA 95053-0001 2006-10-11
1588621411 Laurie R Bachand Specialist/Technologist 1971 Saint Lawrence Dr, Santa Clara, CA 95051-2129 2006-04-26
1316449283 Jaclyn Michelle Alongi-lee Specialist/Technologist 500 El Camino Real, Santa Clara, CA 95050-4345 2018-03-06
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Competitor

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City SANTA CLARA
Zip Code 95054

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Dataset Information

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.

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