JAIME PEREZ PINEDA (NPI# 1417518358) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1417518358 |
Entity Type | Individual |
Full Name | JAIME PEREZ PINEDA |
Credential | CPO |
Practice Address |
4244 Riverwalk Pkwy Ste 180 Riverside CA 92505-8509 |
Practice Telephone | 9516376586 |
Practice Fax Number | 8444475895 |
Mailing Telephone | 9516376586 |
Enumeration Date | 2019-06-21 |
Last Update Date | 2019-06-21 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 222Z00000X | Orthotist | 213000323 | IL | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
N | 224P00000X | Prosthetist | 211000325 | IL | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Street Address |
4244 RIVERWALK PKWY STE 180 |
City | RIVERSIDE |
State | CA |
Zip Code | 92505-8509 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1891211942 | Cranial Technologies, Inc. | Prosthetic/Orthotic Supplier | 4244 Riverwalk Pkwy Ste 180, Riverside, CA 92505-8509 | 2017-08-21 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1205458460 | Mark Anthony Vargas | Behavioral Analyst | 94193 Flat Rock Dr Ste 220, Riverside, CA 92505 | 2020-05-11 |
1568099976 | Victoria Lee | Student in an Organized Health Care Education/Training Program | Riverside Family Medicine Residency, 10800 Magnolia Avenue, Riverside, CA 92505 | 2020-03-25 |
1588222087 | A Homecare Services, Inc | In Home Supportive Care | 4193 Flat Rock Road, Building 200 Suite 206, Riverside, CA 92505 | 2019-05-31 |
1609302397 | Tap Pharmacy, Inc. | Pharmacy | 4270 Riverwalk Pkwy Ste 102, Riverside, CA 92505 | 2017-05-02 |
1467998658 | Onofre Gascon | Behavior Technician | 11711 Collett Ave, #1614, Riverside, CA 92505 | 2017-01-11 |
1780038505 | Nash David Martinez | Emergency Medicine | 10800 Magnolia Ave Dept of Emergency Medicine, Kaiser Permanente Hospital, Riverside, CA 92505 | 2016-04-18 |
1447639901 | Jose Joel Manalese Dds Inc | Dentist | 3950 Pierce St., Suite L., Riverside, CA 92505 | 2015-05-29 |
1821493230 | Jean Huynh | Physician Assistant | 11725 State Ave., Suite 100, Riverside, CA 92505 | 2014-10-28 |
1003160649 | Elaf Farahat | Dietitian, Registered | 10800 Magnolia Avenue., Riverside, CA 92505 | 2012-11-05 |
1730458217 | Tammy Lynn Gilmore | Non-emergency Medical Transport (VAN) | 10770 Hole Avenue, 106, Riverside, CA 92505 | 2011-12-29 |
Find all providers in zip 92505 |
Taxonomy Code | 222Z00000X |
Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Classification | Orthotist |
A health care professional who is specifically educated and trained to manage comprehensive orthotic patient care, including musculoskeletal and neuromuscular anomalies resulting from injuries or disease processes involving the lower extremity, upper extremity or spinal segment/s and positional deformation of the cranium. Orthotists assess specific patient needs, formulate an appropriate treatment plan, implement the treatment plan and provide follow-up care. |
Notes: Source: American Board for Certification in Orthotics, Prosthetics, and Pedorthics, Inc. [7/1/2010: modified, 7/1/2013: modified] Additional Resources: American Board for Certification in Orthotics, Prosthetics and Pedorthics, Inc., www.abcop.org and Board of Certification/Accreditation, International, www.bocusa.org. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1710534821 | Alpha Iscandari Sanusi | Orthotist | 1760 Chicago Ave Ste L21, Riverside, CA 92507-2326 | 2019-08-22 |
1043876162 | Kadesh Gamall Gayle | Orthotist | 20595 Spring St, Riverside, CA 92507-0128 | 2019-05-14 |
1336625896 | Michael Lewis Cope | Orthotist | 6927 Brockton Ave Ste 2a, Riverside, CA 92506-3807 | 2018-07-17 |
1255619318 | Daniel P Galan | Orthotist | 3369 Chicago Ave, Riverside, CA 92507-6814 | 2011-07-23 |
1023188943 | Jennings Orthopedic Inc | Orthotist | 10683 Magnolia Ave, Suite A, Riverside, CA 92505-1893 | 2006-11-08 |
1790973261 | Heath J Morphis | Orthotist | 6377 Riverside Ave Ste B100, Riverside, CA 92506-3133 | 2007-10-10 |
1881882355 | Arthur E Price | Orthotist | 6377 Riverside Ave Ste B100, Riverside, CA 92506-3133 | 2007-10-10 |
1225108475 | Henry Alvin Jennings Jr. | Orthotist | 10683 Magnolia Ave, Suite A, Riverside, CA 92505-1893 | 2006-11-08 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1780284851 | Hannah Mckinsey Oltrogge | Orthotist | 1260 S Main St Ste 102, Salinas, CA 93901-2292 | 2020-10-28 |
1639789779 | Dynamics Orthotics & Prosthetics, Inc | Orthotist | 2150 N Waterman Ave Ste 301, San Bernardino, CA 92404-4811 | 2020-08-04 |
1043833619 | Tim Shride | Orthotist | 3800 Watt Ave Ste 151, Sacramento, CA 95821-2688 | 2020-05-18 |
1255964854 | Stephanie Janae Ybarra | Orthotist | 5412 Avenida De Los Robles, Suite 101, Visalia, CA 93291 | 2020-02-21 |
1558994129 | Jacy Kay Young | Orthotist | 1247 E Alluvial Ave Ste 112, Fresno, CA 93720-2686 | 2020-02-21 |
1851935217 | Timothy James Johnston | Orthotist | 635 Anderson Rd., Suite 18, Davis, CA 95616 | 2019-10-29 |
1629628243 | Christian Rae Figueroa | Orthotist | 19845 Lake Chabot Rd Ste 302, Castro Valley, CA 94546-4055 | 2019-09-16 |
1255998290 | West Coast Dme & Supplies LLC | Orthotist | 8322 Clairemont Mesa Blvd Ste 105, San Diego, CA 92111-1317 | 2019-05-24 |
1346701059 | Nicole Rae Henry | Orthotist | 2550 23rd St Ste 119, San Francisco, CA 94110-3504 | 2019-03-26 |
1972064848 | Kenneth Kane | Orthotist | 400 Parnassus Ave Rm A096, San Francisco, CA 94143-2202 | 2019-03-25 |
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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.