DOMANIQUE PERETTI (NPI# 1407262157) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1407262157 |
| Entity Type | Individual |
| Full Name | DOMANIQUE PERETTI |
| Credential | MS, ATC |
| Practice Address |
115 Haas Pavilion Berkeley CA 94720-0001 |
| Practice Telephone | 5106244990 |
| Mailing Telephone | 5106244990 |
| Enumeration Date | 2014-07-02 |
| Last Update Date | 2014-07-02 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2255A2300X |
Specialist/Technologist Specialization: Athletic Trainer |
Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
115 HAAS PAVILION |
| City | BERKELEY |
| State | CA |
| Zip Code | 94720-0001 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518475581 | Alanna Elizabeth Baginski | Specialist/Technologist | 115 Haas Pavilion, Berkeley, CA 94720-0001 | 2018-01-11 |
| 1053793570 | Baker Cronin | Specialist/Technologist | 115 Haas Pavilion, Berkeley, CA 94720-0001 | 2015-06-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609352798 | Richard Phan | Optometrist | 200 Minor Ln, Berkeley, CA 94720 | 2018-07-12 |
| 1184082067 | Carmen Lee | Registered Nurse | 2222 Bancroft Way, Mc4300, Berkeley, CA 94720 | 2016-02-05 |
| 1922355148 | Cynthia Medina | Counselor | 2222 Bancroft Way #4300, Berkeley, CA 94720 | 2012-08-07 |
| 1811199615 | Ellen De Neef | Physical Therapist | 2222 Bancroft, Berkeley, CA 94720 | 2007-06-04 |
| 1427185529 | Margaret Anne Fisher | Nurse Practitioner | 2222 Bancroft Ave, Berkeley, CA 94720 | 2007-02-27 |
| 1619049285 | Vikki V. Yu | Optometrist | 230 Minor Hall, Uc Berkeley School of Optometry, Berkeley, CA 94720 | 2006-11-15 |
| 1801992755 | Robert K Osborne Dds & Assoc Inc | Dentist | 1177 South Main St, North Canton, OH 94720 | 2006-09-16 |
| 1154949899 | Thuy-trang Nguyen | Optometrist | 230 Minor Hall, Berkeley, CA 94720 | 2020-07-09 |
| 1619498656 | Celia R Gong | Optometrist | 230 Minor Hall, Berkeley, CA 94720 | 2017-06-29 |
| 1790234680 | Kelsey Lindquist | Specialist/Technologist | 185 Haas Pavilion, Berkeley, CA 94720 | 2016-10-03 |
| Find all providers in zip 94720 | ||||
| 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 |
|---|---|---|---|---|
| 1740827294 | Nina Gibson | Specialist/Technologist | 1804 Monterey Ave, Berkeley, CA 94707-2525 | 2019-12-03 |
| 1932673811 | Alexandra Lee Finn | Specialist/Technologist | Haas Pavilion #4422, Berkeley, CA 94720-0001 | 2019-01-14 |
| 1376014928 | Justin T Cooke | Specialist/Technologist | 2024 Durant Ave #508, Berkeley, CA 94704 | 2018-12-07 |
| 1083138135 | Lauren Piccinini | Specialist/Technologist | Cal Sports Medicine #4422 Haas Pavilion, Berkeley, CA 94720-0001 | 2017-07-31 |
| 1467903815 | Brenden Lambert | Specialist/Technologist | 170h Simpson Ctr, 2227 Piedmont Ave., Berkeley, CA 94720-0001 | 2016-10-20 |
| 1831566678 | Camille Veronica Griffith | Specialist/Technologist | 2301 Bancroft Way, Berkeley, CA 94720-4421 | 2015-08-27 |
| 1144618372 | Gavin Richard | Specialist/Technologist | 1176 University Ave Apt 301, Berkeley, CA 94702-1880 | 2014-12-22 |
| 1578979605 | Keri Sotak | Specialist/Technologist | Simpson Ctr, 2227 Piedmont Ave, Berkeley, CA 94720-2325 | 2014-07-09 |
| 1477964021 | Ann Marie Caslin | Specialist/Technologist | 185 Haas Pavilion, Berkeley, CA 94720-4422 | 2014-05-16 |
| 1699192716 | Ryan Hatcher Cobb | Specialist/Technologist | 170 Simpson Center Uc Berkeley, Cal Sports Medicine, Berkeley, CA 94720-0001 | 2014-03-26 |
| Find all providers in BERKELEY | ||||
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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.