CALIFORNIA PEDIATRIC REHABILITATION (NPI# 1457626673) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1457626673 |
| Entity Type | Organization |
| Organization Name | CALIFORNIA PEDIATRIC REHABILITATION |
| Other Organization Name | CALIFORNIA PEDIATRIC REHABILITATION ASSOCIATES, INC. |
| Practice Address |
400 Taylor Blvd Suite 306 Pleasant Hill CA 94523-2147 |
| Mailing Address |
2342 Shattuck Ave Suite 138 Berkeley CA 94704-1517 |
| Practice Telephone | 5109002020 |
| Practice Fax Number | 9256919820 |
| Mailing Telephone | 5109002020 |
| Mailing Fax Number | 5105502737 |
| Enumeration Date | 2012-03-21 |
| Last Update Date | 2012-03-21 |
| Authorized Official Name | JACOB A NEUFELD (OWNER) |
| Authorized Official Telephone | 8048554871 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2081P0010X |
Physical Medicine & Rehabilitation Specialization: Pediatric Rehabilitation Medicine |
G87876 | CA | Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| California Pediatric Rehabilitation Associates, Inc. | Other Name - Individual/Organization |
| Street Address |
400 TAYLOR BLVD SUITE 306 |
| City | PLEASANT HILL |
| State | CA |
| Zip Code | 94523-2147 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518963958 | Robert Leon Robles | Internal Medicine | 400 Taylor Blvd, Ste 202, Pleasant Hill, CA 94523-2147 | 2005-06-21 |
| 1922475284 | Bay Area Surgical Specialists, Inc. A Medical Corporation | Psychiatry & Neurology | 400 Taylor Blvd, Suite 301, Pleasant Hill, CA 94523-2147 | 2015-08-21 |
| 1003200734 | Jasmin Lily Eshragh | Clinical Nurse Specialist | 400 Taylor Blvd, Suite 101, Pleasant Hill, CA 94523-2147 | 2015-03-19 |
| 1578956827 | Erik Kuecher | Physician Assistant | 400 Taylor Blvd, Suite 301, Pleasant Hill, CA 94523-2147 | 2015-03-11 |
| 1841537115 | Jasmine K. Bhasin | Physician Assistant | 400 Taylor Blvd, Ste 301, Pleasant Hill, CA 94523-2160 | 2013-01-07 |
| 1538455795 | Michelle N Taymuree | Pharmacist | 400 Taylor Blvd, Pleasant Hill, CA 94523-2147 | 2011-06-24 |
| 1316243785 | Diablo Valley Child Neurology Inc | Pediatrics | 400 Taylor Blvd, Suite 306, Pleasant Hill, CA 94523-2147 | 2011-02-02 |
| 1295043859 | David Buffum | Nurse Practitioner | 400 Taylor Blvd, Ste 202, Pleasant Hill, CA 94523-2147 | 2010-09-16 |
| 1386964625 | Dawn Marie Saborit | Nurse Practitioner | 400 Taylor Blvd, Suite 306, Pleasant Hill, CA 94523-2147 | 2010-06-09 |
| 1386871168 | Okkyung Kim | Psychiatry & Neurology | 400 Taylor Blvd, Suite 301, Pleasant Hill, CA 94523-2147 | 2009-06-18 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881110823 | Paola M Portillo | Counselor | 3480 Buskirk Dr, St 210, Plesant Hill, CA 94523 | 2017-08-22 |
| 1508309113 | Seven Bridges Speech Pathology Inc | Speech-Language Pathologist | 140 Gregory Lane, Suite 280, Pleasant Hill, CA 94523 | 2016-11-30 |
| 1669856761 | Mikelle Waite Millward | Speech-Language Pathologist | 111 Cleaveland Rd Apt 102, Pleasant Hill, CA 94523 | 2015-07-17 |
| 1568870186 | Travel Well Corporation | Preventive Medicine | 3478 Buskirk Ave, Suite 1042, Pleasant Hill, CA 94523 | 2014-07-28 |
| 1700290962 | New Directions for Young Adults - California | Psychologist | 100 Longbrook Way, Ste. 20, Pleasant Hill, CA 94523 | 2014-06-16 |
| 1396161014 | Contra Costa Pathology Associates | Pathology | 399 Taylor Blvd Sw 200, Pleasant Hill, CA 94523 | 2014-03-06 |
| 1760822993 | Jessica Taylor Ysunza | Counselor | 267 Evelyn Drive, Pleasant Hill, CA 94523 | 2013-07-02 |
| 1558618306 | Kristina Foster Wunderman | Counselor | 272 Appalachian Dr, Pleasant Hill, CA 94523 | 2012-08-11 |
| 1376810028 | Patricia Murillo | Counselor | One Santa Barbara Rd, Pleasant Hill, CA 94523 | 2011-11-23 |
| 1265709257 | Marla Jaye Murray | Counselor | 315 Oakvue Lane, Pleasant Hill, CA 94523 | 2011-11-19 |
| Find all providers in zip 94523 | ||||
| Taxonomy Code | 2081P0010X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Physical Medicine & Rehabilitation |
| Specialization | Pediatric Rehabilitation Medicine |
| A physiatrist who utilizes an interdisciplinary approach and addresses the prevention, diagnosis, treatment and management of congenital and childhood-onset physical impairments including related or secondary medical, physical, functional, psychosocial and vocational limitations or conditions, with an understanding of the life course of disability. This physician is trained in the identification of functional capabilities and selection of the best of rehabilitation intervention strategies, with an understanding of the continuum of care. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition changed, source added] Additional Resources: American Board of Physical Medicine and Rehabilitation, 2007. http://www.abpmr.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Physical Medicine and Rehabilitation. A subspecialty certificate for PRM was approved by the ABMS in 1999. ACGME Accredited Residency Program Requirements: Early discussions underway |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366925117 | Christine Marie Draper | Physical Medicine & Rehabilitation | 1900 Garden Rd Ste 200-c, Monterey, CA 93940-5373 | 2018-09-07 |
| 1922272525 | Elaine L Pico, M.d. | Physical Medicine & Rehabilitation | 2825 International Blvd, Room Rc121, Oakland, CA 94601-1543 | 2008-04-15 |
| 1295910941 | University Childrens Medical Group | Physical Medicine & Rehabilitation | 4650 W Sunset Blvd # 5, Los Angeles, CA 90027-6062 | 2007-12-31 |
| 1528080462 | Elaine Louise Pico | Physical Medicine & Rehabilitation | 3031 Telegraph Ave Ste 241, Berkeley, CA 94705-2053 | 2006-07-23 |
| 1205390655 | Rachel Sara Christensen | Physical Medicine & Rehabilitation | 1195 W Fremont Ave, Sunnyvale, CA 94087-3832 | 2019-01-29 |
| 1891265989 | Doreen Spearman | Physical Medicine & Rehabilitation | 34590 County Line Rd Ste 7, Yucaipa, CA 92399-5398 | 2018-11-30 |
| 1316445885 | Amy Quach | Physical Medicine & Rehabilitation | 8933 Activity Rd, San Diego, CA 92126-4427 | 2018-01-30 |
| 1619407459 | Shannon O'brien | Physical Medicine & Rehabilitation | 26081 Merit Cir Ste 107, Laguna Hills, CA 92653-7017 | 2017-06-14 |
| 1851844278 | Karen Charlotta Albiston | Physical Medicine & Rehabilitation | 3355 Mission Ave Ste 123, Oceanside, CA 92058-1327 | 2016-08-02 |
| 1033573126 | Faheem Mahomed | Physical Medicine & Rehabilitation | 4860 Y St Ste 3850, Sacramento, CA 95817-2307 | 2016-04-05 |
| Find all providers with the same taxonomy | ||||
| City | PLEASANT HILL |
| Zip Code | 94523 |
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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.