BRENDAN CACCIOLA (NPI# 1326582438) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1326582438 |
Entity Type | Individual |
Full Name | BRENDAN CACCIOLA |
Practice Address |
68 Willow Rd Menlo Park CA 94025-3653 |
Mailing Address |
5700 Merrick Rd Massapequa NY 11758-6221 |
Practice Telephone | 8668396979 |
Mailing Telephone | 5167989605 |
Mailing Fax Number | 5167989373 |
Enumeration Date | 2016-12-08 |
Last Update Date | 2019-07-24 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 174400000X | Specialist | 040997-1 | NY | Other Service Providers |
Address | Telephone Number | Fax Number |
---|---|---|
520 N Canyon St, Spearfish, SD 577832320 | 6056427996 | |
5700 Merrick Rd, Massapequa, NY 117586221 | 5167989605 | 5167989373 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1699316315 | Brendan Cacciola | Student in an Organized Health Care Education/Training Program | 484 Josiah Bartlett Rd, Concord, NH 03301-5928 | 2019-10-03 |
Street Address |
68 WILLOW RD |
City | MENLO PARK |
State | CA |
Zip Code | 94025-3653 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1740811215 | Tracie San Pedro | Physical Therapist | 68 Willow Rd, Menlo Park, CA 94025-3653 | 2020-02-03 |
1972134872 | Youstina Atalla | Physical Therapist | 68 Willow Rd, Menlo Park, CA 94025-3653 | 2020-01-29 |
1023658986 | Kenneth Barcelona | Physical Therapist | 68 Willow Rd, Menlo Park, CA 94025-3653 | 2020-01-08 |
1235779190 | Priyal Shah | Physical Therapist | 68 Willow Rd, Menlo Park, CA 94025-3653 | 2020-01-08 |
1033758644 | Athena Henley | Physical Therapist | 68 Willow Rd, Menlo Park, CA 94025-3653 | 2019-12-30 |
1770129744 | Helen Holscher | Physical Therapist | 68 Willow Rd, Menlo Park, CA 94025-3653 | 2019-11-25 |
1386287258 | Elizabeth Peyton | Physical Therapist | 68 Willow Rd, Menlo Park, CA 94025-3653 | 2019-10-23 |
1730722505 | Kathleen Lawrence | Physical Therapist | 68 Willow Rd, Menlo Park, CA 94025-3653 | 2019-10-23 |
1073164778 | Kelly Tierney | Physical Therapist | 68 Willow Rd, Menlo Park, CA 94025-3653 | 2019-09-24 |
1295386217 | Henry Carlos | Physical Therapist | 68 Willow Rd, Menlo Park, CA 94025-3653 | 2019-09-20 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1396350112 | Grail, Inc. | Clinical Medical Laboratory | 1525 O'brien Drive, Menlo Park, CA 94025 | 2020-09-09 |
1528673399 | Hanan Wasse | Occupational Therapist | 860 Fremont # Apt 2, Menlo Park, CA 94025 | 2020-09-09 |
1356967608 | Raymond Joseph Brinkmann | Counselor | 795 Willow Road Bldg 332, Menlo Park, CA 94025 | 2020-06-23 |
1245859883 | Connie Margarita Alonzo-frisz | Marriage & Family Therapist | Garfield Community School, 3600 Middlefield Rd, Menlo Park, CA 94025 | 2020-04-14 |
1225661911 | Crossover Health Medical Group | Specialist | 193 Jefferson Dr., Menlo Park, CA 94025 | 2020-02-20 |
1942774732 | Irazema Garcia | Health Educator | 3000 Sand Hill Road, Building 3, Suite 240, Menlo Park, CA 94025 | 2019-01-15 |
1538639174 | Care Indeed, Inc. | Home Health | 890 Santa Cruz Ave., Menlo Park, CA 94025 | 2018-11-27 |
1639644370 | Wendy Figone | Massage Therapist | 575 Gilbert Ave., Menlo Park, CA 94025 | 2018-10-09 |
1437667540 | Christina E Kang | Nutritionist | 3639 Haven Ave Unit A424, Menlo Park, CA 94025 | 2018-01-11 |
1225492820 | Speachy Learning Center | Speech-Language Pathologist | 1164 Chestnut Street, Menlo Park, CA 94025 | 2016-04-09 |
Find all providers in zip 94025 |
Taxonomy Code | 174400000X |
Grouping | Other Service Providers |
Classification | Specialist |
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
Notes: Source: Expanded from Webster’s II New Riverside University Dictionary, Boston: Riverside Publishing Company, 1974. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1225661911 | Crossover Health Medical Group | Specialist | 193 Jefferson Dr., Menlo Park, CA 94025 | 2020-02-20 |
1316200108 | Crossover Health | Specialist | 1 Hacker Way, Menlo Park, CA 94025-1456 | 2012-06-18 |
1073758447 | Marcie Pais | Specialist | 600 Sharon Park Dr # 94025, Ste. 301a 94025, Menlo Park, CA 94025-6948 | 2008-12-12 |
1023029709 | Brenda Scally Barrios | Specialist | 795 Willow Rd # 11k, Menlo Park, CA 94025-2539 | 2006-08-10 |
1275509465 | Menlo Dermatology Medical Group and Laser Center Inc | Specialist | 888 Oak Grove Ave, Suite 8, Menlo Park, CA 94025-4432 | 2006-02-27 |
1710586896 | Karin Diamond | Specialist | 1215 Obrien Dr, Menlo Park, CA 94025-1412 | 2020-10-20 |
1578912978 | Kim Fliege | Specialist | 849 Menlo Ave, Menlo Park, CA 94025-4728 | 2016-06-07 |
1548476302 | Reed J. Kaplan | Specialist | 825 Oak Grove Ave, Ste. A-101, Menlo Park, CA 94025-4434 | 2007-05-15 |
1689893703 | William M Gould | Specialist | 695 Oak Grove Ave, Suite 220, Menlo Park, CA 94025-4351 | 2007-04-25 |
1063631190 | Elizabeth B Gould | Specialist | 695 Oak Grove Ave, Suite 220, Menlo Park, CA 94025-4351 | 2007-04-25 |
Find all providers in MENLO PARK |
City | MENLO PARK |
Zip Code | 94025 |
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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.