ROBERT PATTERSON (NPI# 1710283858) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1710283858 |
| Entity Type | Individual |
| Full Name | ROBERT PATTERSON |
| Credential | CO |
| Practice Address |
2120 Forest Ave Suite 3 San Jose CA 95128-1478 |
| Practice Telephone | 4082179387 |
| Practice Fax Number | 4085640138 |
| Mailing Telephone | 4082179387 |
| Mailing Fax Number | 4085640138 |
| Enumeration Date | 2011-02-08 |
| Last Update Date | 2013-10-14 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 222Z00000X | Orthotist | CO001238 | CA | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| N | 225000000X | Orthotic Fitter | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | ||
| N | 246Z00000X | Specialist/Technologist, Other | Technologists, Technicians & Other Technical Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | XA0012380 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417357211 | Robert Patterson | Obstetrics & Gynecology | 3205 Pickwick Ln, Rollingwood, TX 78746-5516 | 2014-08-28 |
| 1356786370 | Robert W Patterson | Respiratory Therapist, Registered | 58 Somers Ave, Bergenfield, NJ 07621-2608 | 2013-05-03 |
| 1730373887 | Robert Goode Patterson | Psychologist | 2030 E 4th Street, 122a, Santa Ana, CA 92705-3920 | 2007-08-31 |
| 1104946557 | Robert A. Patterson | Physical Therapist | 110 Kinball Avenue, Suite 115, South Burlington, VT 05403 | 2007-03-30 |
| 1982719415 | Robert Piner Patterson | Dentist | 306 E 9th St, Big Spring, TX 79720-2812 | 2006-08-21 |
| 1871524496 | Robert Patterson | Pathology | 911 E. Brady Street, Butler, PA 16001 | 2006-07-05 |
| 1194756577 | Robert Stokes Patterson | Optometrist | 2100 Hamilton Place Blvd, Suite 200 Sears Optical, Chattanooga, TN 37421-6017 | 2006-07-05 |
| 1265400964 | Robert D Patterson | Specialist | 21 Blossom St, Lexington, MA 02421-8103 | 2006-03-09 |
| 1346214079 | Robert W. Patterson | Family Medicine | 1411 Greenway Court, Sanford, NC 27330 | 2006-02-17 |
| 1578545109 | Robert Greg Patterson | Family Medicine | 2630 Central Ave, Suite 1m07, Eielson Afb, AK 99702-2325 | 2005-11-18 |
| Street Address |
2120 FOREST AVE SUITE 3 |
| City | SAN JOSE |
| State | CA |
| Zip Code | 95128-1478 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669407342 | William Walter Wall | Orthopaedic Surgery | 2120 Forest Ave, San Jose, CA 95128-1478 | 2006-07-11 |
| 1790137701 | Acumoxie Acupuncture, Inc. | Acupuncturist | 2120 Forest Ave, Ste 3, San Jose, CA 95128-1478 | 2016-07-01 |
| 1134522139 | Cary Lin | Acupuncturist | 2120 Forest Ave, Ste 3, San Jose, CA 95128-1478 | 2014-10-03 |
| 1386986966 | Albert Becker | Orthotist | 2120 Forest Ave, Suite 3, San Jose, CA 95128-1478 | 2013-03-21 |
| 1952607426 | Thomas K Elias | Orthotist | 2120 Forest Ave, Suite 3, San Jose, CA 95128-1478 | 2011-02-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982227138 | Ruth Larsen | Social Worker | 850 S. Bascom Avenue, Suite 280, San Jose, CA 95128 | 2020-05-22 |
| 1265067185 | Of Two Minds Psychotherapy | Marriage & Family Therapist | 190 S. Bascom Ave, Ste 130, San Jose, CA 95128 | 2020-03-11 |
| 1982244166 | Cindy Pantoja Escobar | Behavior Technician | 100 O'connor Drive, Suites 21, San Jose, CA 95128 | 2020-01-15 |
| 1104460591 | Katherine Alexandra Misogas | Pharmacist | 777 Turner Dr # 330, San Jose, CA 95128 | 2019-10-29 |
| 1942842216 | Jodie Pierce | Marriage & Family Therapist | 871 Enborg Lane, San Jose, CA 95128 | 2019-10-08 |
| 1003466434 | Dong Mi Cha | Pharmacist | 777 Turner Dr Ste 330, San Jose, CA 95128 | 2019-09-17 |
| 1114571759 | Sleep Well Acupuncture, Inc | Acupuncturist | 1361 S Winchester Blvd Suite 206, San Jose, CA 95128 | 2019-08-01 |
| 1083277677 | Wellocity, Inc | Health Educator | 334 Santana Row, 318, San Jose, CA 95128 | 2019-04-18 |
| 1518428812 | Alexander Diaz | Radiology | 75 South Bascom Ave, San Jose, CA 95128 | 2019-03-28 |
| 1720542103 | Nanci R Price Inc | Chiropractor | 100 O'connor Dr., Ste 27, San Jose, CA 95128 | 2019-01-30 |
| Find all providers in zip 95128 | ||||
| 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 |
|---|---|---|---|---|
| 1619592037 | Aileen Janet Menkin | Orthotist | 125 Ciro Ave Ste 240, San Jose, CA 95128-1671 | 2020-06-11 |
| 1063901957 | Peter Q. Ho | Orthotist | 123 Di Salvo Ave Ste 60, San Jose, CA 95128-1714 | 2018-05-07 |
| 1215372172 | Elizabeth M Hendley | Orthotist | 125 Ciro Ave Ste 240, San Jose, CA 95128-1671 | 2013-05-06 |
| 1386986966 | Albert Becker | Orthotist | 2120 Forest Ave, Suite 3, San Jose, CA 95128-1478 | 2013-03-21 |
| 1952607426 | Thomas K Elias | Orthotist | 2120 Forest Ave, Suite 3, San Jose, CA 95128-1478 | 2011-02-01 |
| 1528257110 | Brian Neep | Orthotist | 2505 Samaritan Dr Ste 202, San Jose, CA 95124-4008 | 2007-10-18 |
| 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 |
| 1710534821 | Alpha Iscandari Sanusi | Orthotist | 1760 Chicago Ave Ste L21, Riverside, CA 92507-2326 | 2019-08-22 |
| 1255998290 | West Coast Dme & Supplies LLC | Orthotist | 8322 Clairemont Mesa Blvd Ste 105, San Diego, CA 92111-1317 | 2019-05-24 |
| 1043876162 | Kadesh Gamall Gayle | Orthotist | 20595 Spring St, Riverside, CA 92507-0128 | 2019-05-14 |
| 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.