JIM PATTON (NPI# 1699245795) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1699245795 |
| Entity Type | Individual |
| Full Name | JIM PATTON |
| Credential | CMT |
| Practice Address |
4855 Atherton Ave Ste 204 San Jose CA 95130-1026 |
| Mailing Address |
Po Box 3297 Saratoga CA 95070-1297 |
| Practice Telephone | 4084260975 |
| Mailing Telephone | 4084260975 |
| Enumeration Date | 2018-11-30 |
| Last Update Date | 2018-11-30 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225700000X | Massage Therapist | 73781 | CA | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
4855 ATHERTON AVE STE 204 |
| City | SAN JOSE |
| State | CA |
| Zip Code | 95130-1026 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912045840 | Scott Waddell | Chiropractor | 4855 Atherton Ave Ste 204, San Jose, CA 95130-1026 | 2007-02-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316599087 | Ajay Pala | Occupational Therapist | 20400 Los Gatos-saratoga Rd, Saratoga, CA 95130 | 2019-07-12 |
| 1366516205 | Irene Shuk Wong | Nurse Practitioner | 4855 Atherton Ave, San Jose, CA 95130 | 2006-11-20 |
| 1417489691 | Laura Silvester | Marriage & Family Therapist | 4950 Hamilton Ave Ste 102, San Jose, CA 95130 | 2017-03-28 |
| 1184806325 | Michael Hwa | Internal Medicine | 751 S. Bascom Ave., San Jose, CA 95130 | 2007-11-29 |
| 1114438074 | Gregory Paul Roumbanis | Marriage & Family Therapist | 4855 Atherton Ave Ste 201, San Jose, CA 95130-1026 | 2017-10-18 |
| 1013136423 | Julie Dutton | Nurse Practitioner | 4855 Atherton Ave Ste 101, San Jose, CA 95130-1026 | 2007-04-24 |
| 1508423567 | Kee Jin Kwon | Nurse Practitioner | 4855 Atherton Ave Ste 101, San Jose, CA 95130-1026 | 2019-05-24 |
| 1487119525 | Sarah Gayle Sadumiano Galinato | Nurse Practitioner | 4855 Atherton Ave Ste 101, San Jose, CA 95130-1026 | 2019-02-03 |
| 1790255990 | Aya Pierre | Nurse Practitioner | 4855 Atherton Ave, San Jose, CA 95130-1026 | 2018-11-29 |
| 1184131039 | Pattyjo Marsette | Marriage & Family Therapist | 4855 Atherton Ave Ste 201, San Jose, CA 95130-1026 | 2018-01-01 |
| Find all providers in zip 95130 | ||||
| Taxonomy Code | 225700000X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Massage Therapist |
| An individual trained in the manipulation of tissues (as by rubbing, stroking, kneading, or tapping) with the hand or an instrument for remedial or hygienic purposes. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770181521 | Ebonique Zanale Wilson | Massage Therapist | 380 Vista Roma Way Unit 316, San Jose, CA 95136-4421 | 2020-10-14 |
| 1225635162 | Veronica Isabel Foggie | Massage Therapist | 3570 Ct, San Jose, CA 95127 | 2020-10-05 |
| 1659988897 | Francis Beaudry | Massage Therapist | 1374 Piland Dr, San Jose, CA 95130-1339 | 2020-09-30 |
| 1972118586 | Niane Oliveira Ribeiro De Sa | Massage Therapist | 1174 Lincoln Ave Ste 5, San Jose, CA 95125-3029 | 2020-09-10 |
| 1164061412 | Castrell Neuromuscular Therapy | Massage Therapist | 3880 S Bascom Ave Ste 108, San Jose, CA 95124-2600 | 2020-01-04 |
| 1285192468 | Mae Rose Corley | Massage Therapist | 841 Blossom Hill Rd Ste 108, San Jose, CA 95123-2704 | 2019-03-07 |
| 1750870747 | Gertrud Stojancic | Massage Therapist | 3315 Almaden Expressway, # 27/29, San Jose, CA 95125 | 2018-05-04 |
| 1457889958 | Chris Shelton | Massage Therapist | 1314 Lincoln Ave Ste 2b, San Jose, CA 95125-3012 | 2017-05-27 |
| 1477098572 | Richard C Rhodes | Massage Therapist | 2618 Hill Park Dr, San Jose, CA 95124-1734 | 2016-12-27 |
| 1114398658 | Myung Sook Lee | Massage Therapist | 765 Modern Ice Dr, San Jose, CA 95112-4857 | 2015-10-09 |
| Find all providers in SAN JOSE | ||||
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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.