CALIFORNIA HOME DOC (NPI# 1710381702) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1710381702 |
| Entity Type | Organization |
| Organization Name | CALIFORNIA HOME DOC |
| Other Organization Name | CALIFORNIA HOME DOC |
| Practice Address |
4030 Moorpark Ave Suite 251 San Jose CA 95117-4103 |
| Practice Telephone | 4085966278 |
| Mailing Telephone | 4085966278 |
| Enumeration Date | 2014-10-20 |
| Last Update Date | 2014-10-20 |
| Authorized Official Name | DR. ABDELSALAM M MOGASBE (DOCTOR) |
| Authorized Official Telephone | 4085966278 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 174400000X | Specialist | A97753 | CA | Other Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | TAXONAMY | 193400000X | 01 |
| Other Name | Type Code |
|---|---|
| california home doc | Doing Business As Name - Organization |
| Street Address |
4030 MOORPARK AVE SUITE 251 |
| City | SAN JOSE |
| State | CA |
| Zip Code | 95117-4103 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710919998 | Gentiva Certified Healthcare Corp. | Home Health | 4030 Moorpark Ave, Suite 251, San Jose, CA 95117-1807 | 2006-07-07 |
| 1669977625 | Monica Orea Duarte | Behavior Technician | 4030 Moorpark Ave, San Jose, CA 95117-4103 | 2018-03-29 |
| 1699278945 | Samantha Pansoy | Behavioral Analyst | 4030 Moorpark Ave, San Jose, CA 95117-4103 | 2018-03-13 |
| 1194227108 | Thuy Hoang | Behavior Technician | 4030 Moorpark Ave, San Jose, CA 95117-4103 | 2018-03-06 |
| 1447752738 | Sy P Hoang | Behavior Technician | 4030 Moorpark Ave, San Jose, CA 95117-4103 | 2018-03-02 |
| 1932601226 | Justine Hernandez | Behavior Technician | 4030 Moorpark Ave, San Jose, CA 95117-4103 | 2018-03-02 |
| 1922530195 | Mischelle Camaclang | Behavioral Analyst | 4030 Moorpark Ave, Suite 105, San Jose, CA 95117-4103 | 2017-03-28 |
| 1891868550 | Abdelsalam Mogasbe | General Practice | 4030 Moorpark Ave, San Jose, CA 95117 | 2006-11-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154978385 | Rebecca Giordano St George | Marriage & Family Therapist | 390 Spar Avenue Suite 106, San Jose, CA 95117 | 2019-08-22 |
| 1760035067 | Na Bao Inc | Acupuncturist | 631 Rebecca Way, Apt D, San Jose, CA 95117 | 2019-07-17 |
| 1801364823 | Acupuncture & Healing Inc | Acupuncturist | 4155 Moorpark Ave Ste #13, San Jose, CA 95117 | 2018-11-07 |
| 1689199770 | Youngsu Lyu | Chiropractor | 4010 Moorpark Ave Ste 109, San Jose, CA 95117 | 2017-08-09 |
| 1790139137 | January Villarreal | Speech-Language Pathologist | 4010 Moorpark Ave. #117, San Jose, CA 95117 | 2016-04-22 |
| 1780069187 | Il Hwan Park Chiropractic Clinic | Chiropractor | 4155 Moorpark Avenue, Suite 1, San Jose, CA 95117 | 2015-07-27 |
| 1285077073 | John Lockhart Mcelroy | Family Medicine | 3578 Moultrie Ave., San Diego, CA 95117 | 2013-04-10 |
| 1801134036 | Min Jung Kang | Acupuncturist | 4155 Moorpark Ave Ste 20, San Jose, CA 95117 | 2013-01-23 |
| 1356574420 | Scott Svendsen | Chiropractor | 3531 Stevens Creek Blvd., San Jose, CA 95117 | 2009-08-24 |
| 1316191893 | Christopher Corsa | Dentist | 4010 Moorpark Ave Ste 105, San Jose, CA 95117 | 2008-11-10 |
| Find all providers in zip 95117 | ||||
| Taxonomy Code | 174400000X |
| Grouping | Other Service Providers |
| Classification | Specialist |
| An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
| Notes: Source: Expanded from Webster’s II New Riverside University Dictionary, Boston: Riverside Publishing Company, 1974. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467965293 | Kathleen Dawn Kraskouskas | Specialist | 541 W Julian St, San Jose, CA 95110-2338 | 2017-11-15 |
| 1861927568 | Crossover Health Medical Group | Specialist | 5601 Great Oaks Pkwy, Bldg 050, San Jose, CA 95119-1003 | 2017-05-01 |
| 1629503255 | Professional Medical Claims Services | Specialist | 5646 Bluegrass Ln, San Jose, CA 95118-3513 | 2017-04-20 |
| 1669873204 | Wendy Ann Brotherton | Specialist | 1401 Parkmoor Ave Ste 230, San Jose, CA 95126-3407 | 2014-09-15 |
| 1225467756 | Ir Solutions Inc | Specialist | 105 N Bascom Ave Ste 104, San Jose, CA 95128-1811 | 2013-11-05 |
| 1558793653 | Angela Dawn Ballou | Specialist | 1052 Delna Manor Ln, San Jose, CA 95128-3457 | 2013-07-31 |
| 1295089670 | Huong Yen Duong | Specialist | 184 Checkers Dr, San Jose, CA 95116-1359 | 2012-11-06 |
| 1407116213 | Cherie Jones | Specialist | 2555 Corde Terra Cir, #331, San Jose, CA 95111-1955 | 2012-05-25 |
| 1215294129 | Nguyen Tan | Specialist | 110 Jackson St, San Jose, CA 95112-5105 | 2012-04-16 |
| 1447522602 | Daniela Bayer | Specialist | 560 S Winchester Blvd, Suite 500, San Jose, CA 95128-2560 | 2012-02-03 |
| 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.