HADJI ALEJANDRO DEDACE (NPI# 1689762585) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1689762585 |
| Entity Type | Individual |
| Full Name | HADJI ALEJANDRO DEDACE |
| Credential | P.T. |
| Practice Address |
1624 W Olive Ave Ste E Burbank CA 91506-2459 |
| Mailing Address |
1624 W. Olive Suite E Burbank CA 91506 |
| Practice Telephone | 8188461441 |
| Practice Fax Number | 8188461419 |
| Mailing Telephone | 8188461441 |
| Mailing Fax Number | 8188461419 |
| Enumeration Date | 2006-10-10 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2081S0010X |
Physical Medicine & Rehabilitation Specialization: Sports Medicine |
PT32175 | CA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | PHYSICAL THERAPY | PT 32175 | 01 |
| Street Address |
1624 W OLIVE AVE STE E |
| City | BURBANK |
| State | CA |
| Zip Code | 91506-2459 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790889806 | Robert Kuskin | Physical Medicine & Rehabilitation | 1624 W Olive Ave Ste E, Burbank, CA 91506-2459 | 2006-09-11 |
| 1417056169 | Janice Joy Peji Dela Cruz | Physical Medicine & Rehabilitation | 1624 W Olive Ave Ste E, Burbank, CA 91506-2459 | 2006-09-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801427026 | Oc Hospice Care, Inc. | Hospice Care, Community Based | 2001 W Magolia Blvd Suite A1, Burbanbk, CA 91506 | 2020-01-27 |
| 1316578537 | Saint Iness Hospice Inc | Hospice Care, Community Based | 2001 W Magolia Blvd Suite B1, Burbank, CA 91506 | 2020-01-27 |
| 1528543394 | John A Gorostiza Villanueva Md, Inc | Physical Medicine & Rehabilitation | 2121 W Magnolia Blvd Ste B, Burbank, CA 91506 | 2018-09-27 |
| 1063995819 | Angela Ter-zakarian | Home Health Aide | 1130 W Olive Ave Unit C, Burbank, CA 91506 | 2018-09-07 |
| 1154807345 | Lusine Vardanyan | Optometrist | 1112 W Burbank Blvd Ste 204, Burbank, CA 91506 | 2018-07-11 |
| 1366942666 | Angel Wings Medical Associates | Clinic/Center | 1130 West Olive Ave., Burbank, CA 91506 | 2018-02-14 |
| 1427568757 | Claire Helen Bauer | Specialist/Technologist | 421 S Lamer St, Burbank, CA 91506 | 2017-09-29 |
| 1689021354 | Allstar Home Healthcare, Inc | Home Health | 2001 W Magnolia Blbd Suite A1, Burbank, CA 91506 | 2016-05-23 |
| 1598163230 | Saint Iness Home Healthcare, Inc | Home Health | 2001 W. Magnolia Blvd Suite A, Burbank, CA 91506 | 2014-12-11 |
| 1306245386 | Burbank Plastic Surgery Medical Group | Clinic/Center | 2301 W Alameda Ave, Burbank, CA 91506 | 2014-08-15 |
| Find all providers in zip 91506 | ||||
| Taxonomy Code | 2081S0010X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Physical Medicine & Rehabilitation |
| Specialization | Sports Medicine |
| A physician who specializes in Sports Medicine is responsible for continuous care related to the enhancement of health and fitness as well as the prevention of injury and illness. The specialist possesses knowledge and experience in the promotion of wellness and the prevention of injury from many areas of medicine such as exercise physiology, biomechanics, nutrition, psychology, physical rehabilitation, epidemiology, physical evaluation and injuries. It is the goal of a Sports Medicine specialist to improve the healthcare of the individual engaged in physical exercise. |
| Notes: Source: American Board of Medical Specialties, 2009. www.abms.org [7/1/2009: definition added] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811098031 | John Lituanas | Physical Medicine & Rehabilitation | 1624 W Olive Ave, Ste E, Burbank, CA 91506-2459 | 2006-09-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518578186 | Tracy Tran Physical Therapy | Physical Medicine & Rehabilitation | 5166 Eagle Rock Blvd, Los Angeles, CA 90041-1115 | 2020-08-16 |
| 1255969143 | Amber Renee Debarge | Physical Medicine & Rehabilitation | 2918 Havasupai Ave, San Diego, CA 92117-1641 | 2020-03-28 |
| 1932734969 | Jasmine Angelina Velasquez | Physical Medicine & Rehabilitation | 12017 Herbert St, Los Angeles, CA 90066-5201 | 2020-03-10 |
| 1275165979 | Coastal Regenerative Orthopedics & Wellness Center Inc. | Physical Medicine & Rehabilitation | 11772 Sorrento Valley Rd Ste 100, San Diego, CA 92121-1016 | 2020-02-10 |
| 1679110407 | Drew Yoder | Physical Medicine & Rehabilitation | Chase Center - Bbops, 1 Warriors Way, San Francisco, CA 94158 | 2019-11-27 |
| 1841831864 | Olivia Carmen Smith | Physical Medicine & Rehabilitation | 2439 Country Club Dr, Glendora, CA 91741-4009 | 2019-10-01 |
| 1538719521 | Kyle Watry | Physical Medicine & Rehabilitation | 550 15th St Ste 36a, San Francisco, CA 94103-5032 | 2019-09-12 |
| 1023679826 | Adrianna Medina | Physical Medicine & Rehabilitation | 279 E Orlando Way, Covina, CA 91723-3016 | 2019-06-24 |
| 1316505563 | Restore The Machine - Physical Therapy Inc | Physical Medicine & Rehabilitation | 23332 Hawthorne Blvd Ste 202, Torrance, CA 90505-3767 | 2019-06-03 |
| 1881163889 | Gaylen Mcginn | Physical Medicine & Rehabilitation | 724 W Maple Ave Apt A, Orange, CA 92868-5022 | 2018-11-19 |
| Find all providers with the same taxonomy | ||||
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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.