DR. KENNETH ISHIZUE (NPI# 1518994581) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1518994581 |
| Entity Type | Individual |
| Full Name | DR. KENNETH ISHIZUE |
| Credential | M.D. |
| Practice Address |
1441 Constitution Blvd Ste 200 Salinas CA 93906-3127 |
| Practice Telephone | 8317554111 |
| Practice Fax Number | 8317596565 |
| Mailing Telephone | 8317554111 |
| Mailing Fax Number | 8317596565 |
| Enumeration Date | 2006-06-27 |
| Last Update Date | 2007-12-07 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207X00000X | Orthopaedic Surgery | G56343 | CA | Allopathic & Osteopathic Physicians |
| Y | 207XX0005X |
Orthopaedic Surgery Specialization: Sports Medicine |
G56343 | CA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | 00G563430 | 05 |
| Street Address |
1441 CONSTITUTION BLVD STE 200 |
| City | SALINAS |
| State | CA |
| Zip Code | 93906-3127 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982175618 | Mayra Alejandra Garcia | Licensed Vocational Nurse | 1441 Constitution Blvd Ste 200, Salinas, CA 93906-3127 | 2018-12-06 |
| 1124538244 | Jazmin Hinojosa | Counselor | 1441 Constitution Blvd Ste 200, Salinas, CA 93906-3127 | 2017-10-03 |
| 1861744518 | Jessica Anne Moon | Counselor | 1441 Constitution Blvd Ste 200, Salinas, CA 93906-3127 | 2012-10-04 |
| 1285962993 | Peter Miranda | Physician Assistant | 1441 Constitution Blvd Ste 200, Floor One, Suite 101, Salinas, CA 93906-3127 | 2009-11-19 |
| 1841463718 | Patricia Pena | Social Worker | 1441 Constitution Blvd Ste 200, Salinas, CA 93906-3127 | 2008-04-10 |
| 1588785158 | Ruben Gabriel | Social Worker | 1441 Constitution Blvd Ste 200, Salinas, CA 93906-3127 | 2007-04-02 |
| 1063437556 | Neil Richman | Orthopaedic Surgery | 1441 Constitution Blvd Ste 200, Salinas, CA 93906-3127 | 2006-07-13 |
| 1477586279 | Donald C Pompan | Orthopaedic Surgery | 1441 Constitution Blvd Ste 200, Salinas, CA 93906-3127 | 2006-07-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922618883 | Casandra Andrea Gonzales | Case Manager/Care Coordinator | 1441 Constitution Blvd Building 400 Suite 202, Salinas, CA 93906 | 2020-08-05 |
| 1033730734 | Georgina Rodriguez | Behavioral Analyst | 1441 Constituion Blvd Bldg 400, Suite 202, Salinas, CA 93906 | 2020-05-04 |
| 1083252589 | Diane M Cassam | Marriage & Family Therapist | 1441 Constitution Blvd., Bldg. 400, Suite 200, Salinas, CA 93906 | 2019-12-16 |
| 1558849349 | Heather Lynne Rogers | Counselor | 1441 Constitution Blvd., Bldg. 400, Ste 202, Salinas, CA 93906 | 2018-08-02 |
| 1053897462 | Mayra Lizeth Barocio | Counselor | 1441 Constitution Blvd Bldg 4002, Salinas, CA 93906 | 2018-07-18 |
| 1720571425 | Ashley A Rangel | Behavior Technician | 1123 Baldwin St., Salinas, CA 93906 | 2018-06-07 |
| 1013419597 | Sean Crow | Behavior Technician | 1123 Baldwin, Salinas, CA 93906 | 2018-03-01 |
| 1942720164 | Joshua Lawrence Deutsch | Student in an Organized Health Care Education/Training Program | 1441 Constutution Blvd, Blg 400, Third Floor, Salinas, CA 93906 | 2017-06-20 |
| 1679014450 | Chris Moreno | Counselor | 1127 Baldwin St., Suite A, Salinas, CA 93906 | 2017-03-14 |
| 1295101657 | Craig Varjian | Dentist | 640 E. Alvin Drive, Suite D, Salinas, CA 93906 | 2015-08-19 |
| Find all providers in zip 93906 | ||||
| Taxonomy Code | 207XX0005X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Orthopaedic Surgery |
| Specialization | Sports Medicine |
| An orthopaedic surgeon trained in sports medicine provides appropriate care for all structures of the musculoskeletal system directly affected by participation in sporting activity. This specialist is proficient in areas including conditioning, training and fitness, athletic performance and the impact of dietary supplements, pharmaceuticals, and nutrition on performance and health, coordination of care within the team setting utilizing other health care professionals, field evaluation and management, soft tissue biomechanics and injury healing and repair. Knowledge and understanding of the principles and techniques of rehabilitation, athletic equipment and orthotic devices enables the specialist to prevent and manage athletic injuries. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton changed, source changed] Additional Resources: American Board of Orthopaedic Surgery, 2007. http://www.abos.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Orthopaedic Surgery. ACGME Accredited Program Requirements: 1 year GME in the specialty + 5 years of Orthopaedic Surgery for a total of 6 years |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326481185 | Scott Richard Anderson | Orthopaedic Surgery | 220 San Jose St, Salinas, CA 93901-3901 | 2013-04-11 |
| 1669668455 | Justin Browning Swan | Orthopaedic Surgery | 611 Abbott St, Suite 101, Salinas, CA 93901-4389 | 2007-09-14 |
| 1912933953 | Albert Brian Doornik | Orthopaedic Surgery | 611 Abbott St Ste 101, Salinas, CA 93901-4314 | 2006-06-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790341618 | Casey S Revenko | Orthopaedic Surgery | 2999 Regent St Ste 225, Berkeley, CA 94705-2117 | 2019-05-15 |
| 1225504301 | Amgad Alfred | Orthopaedic Surgery | 18145 Us Highway 18 Ste D, Apple Valley, CA 92307-2210 | 2018-10-16 |
| 1386136430 | Valley River Orthopedics and Sports Medicine | Orthopaedic Surgery | Valley River Orthopedics & Sports Medicine Inc, 3329 G St Ste A, Merced, CA 95340 | 2018-06-05 |
| 1073026696 | Optimal Physician Surgical Group | Orthopaedic Surgery | 25067 Jim Bridger Rd, Hidden Hills, CA 91302-1128 | 2017-11-06 |
| 1336669456 | Beach Cities Orthopedics Surgery Center, LLC | Orthopaedic Surgery | 400 S Sepulveda Blvd Ste 110, Manhattan Beach, CA 90266-6814 | 2017-06-20 |
| 1750818860 | Health Link Medical Group Inc | Orthopaedic Surgery | 899 Northgate Dr Ste 400, San Rafael, CA 94903-3667 | 2017-05-19 |
| 1962861476 | Mehta Orthopedics | Orthopaedic Surgery | 32145 Alvarado Niles Rd Ste 209, Union City, CA 94587-2930 | 2016-02-12 |
| 1649646282 | Bay Area Surgical Specialists, Inc. A Medical Corporation | Orthopaedic Surgery | 5924 Stoneridge Dr Ste 202, Pleasanton, CA 94588-5400 | 2015-08-18 |
| 1114346111 | Sean Robinson | Orthopaedic Surgery | 7551 Timberlake Way Ste 200, Sacramento, CA 95823-5422 | 2014-04-08 |
| 1851717938 | William R Campbell Do Prof Corp | Orthopaedic Surgery | 1 Daniel Burnham Ct Ste 365c, San Francisco, CA 94109-5490 | 2014-03-12 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on DR. KENNETH ISHIZUE.
| 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.