VIBRANTCARE OUTPATIENT REHABILITATION OF CALIFORNIA INC (NPI# 1790789295) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1790789295 |
| Entity Type | Organization |
| Organization Name | VIBRANTCARE OUTPATIENT REHABILITATION OF CALIFORNIA INC |
| Other Organization Name | VIBRANTCARE REHABILITATION |
| Practice Address |
3001 Dover Ave Suite B Fairfield CA 94533-9795 |
| Mailing Address |
2270 Douglas Blvd Ste 112 Roseville CA 95661-3869 |
| Practice Telephone | 7074281311 |
| Practice Fax Number | 7074281354 |
| Mailing Telephone | 9167821212 |
| Mailing Fax Number | 9167731481 |
| Enumeration Date | 2005-06-13 |
| Last Update Date | 2013-10-25 |
| Authorized Official Name | MR. DAVID SMITH (CEO) |
| Authorized Official Telephone | 9167821212 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QP2000X |
Clinic/Center Specialization: Physical Therapy |
Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| VibrantCare Rehabilitation | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255338125 | Vibrantcare Outpatient Rehabilitation of California Inc | Clinic/Center | 250 Elm Avenue, Auburn, CA 95603 | 2005-07-07 |
| 1235133711 | Vibrantcare Outpatient Rehabilitation of California Inc | Clinic/Center | 2160 Appian Way, Ste 101, Pinole, CA 94564-2524 | 2005-06-13 |
| 1083618573 | Vibrantcare Outpatient Rehabilitation of California Inc | Clinic/Center | 20996 Redwood Rd, Castro Valley, CA 94546-5918 | 2005-06-13 |
| 1760486120 | Vibrantcare Outpatient Rehabilitation of California Inc | Clinic/Center | 965 E Yosemite Ave, Suite 14, Manteca, CA 95336-5938 | 2005-06-13 |
| 1336143981 | Vibrantcare Outpatient Rehabilitation of California Inc | Clinic/Center | 1357 W Shaw Ave, Suite 101, Fresno, CA 93711-3618 | 2005-06-10 |
| 1417951047 | Vibrantcare Outpatient Rehabilitation of California Inc | Clinic/Center | 690 Industrial Rd, San Carlos, CA 94070-3318 | 2005-06-10 |
| 1154325769 | Vibrantcare Outpatient Rehabilitation of California Inc | Clinic/Center | 15251 National Ave, Ste 203, Los Gatos, CA 95032-2400 | 2005-06-10 |
| 1992709547 | Vibrantcare Outpatient Rehabilitation of California Inc | Clinic/Center | 7230 S Land Park Dr, Suite 105, Sacramento, CA 95831-3659 | 2005-06-10 |
| Street Address |
3001 DOVER AVE SUITE B |
| City | FAIRFIELD |
| State | CA |
| Zip Code | 94533-9795 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922376755 | Christopher David Grover | Physical Therapist | 3001 Dover Ave, Suite B, Fairfield, CA 94533-9795 | 2011-12-07 |
| 1063488955 | Myra Carreon | Physical Therapist | 3001 Dover Ave, Fairfield, CA 94533-9767 | 2006-02-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609487347 | Shayondelice Sledge | Case Manager/Care Coordinator | 3001 N. Texas St., #27, Fairfield, CA 94533 | 2020-08-16 |
| 1508401191 | Tiffany Ann Garcia | Social Worker | 1301 Roman Way, Martinez, CA 94533 | 2019-11-07 |
| 1609424175 | Andrew Stephens | Student in an Organized Health Care Education/Training Program | Dgmc, 101 Bodin Cir, Fairfield, CA 94533 | 2019-08-28 |
| 1821645383 | Michelle Marie Hackett | Marriage & Family Therapist | 1745 Enterprise Dr., Bldg. 2, Ste 1a, Fairfield, CA 94533 | 2019-08-20 |
| 1780154369 | Maria Leonila Ramos Corpuz | Behavior Technician | 744 Empire Street Suite 160, Fairfield, CA 94533 | 2018-11-27 |
| 1629575303 | Jeanne Ann Kiernan | Dentist | 690 Airman Dr, Apo, AA 94533 | 2018-04-10 |
| 1629596820 | Max Kardos | Student in an Organized Health Care Education/Training Program | 801 Empire St., Fairfield, CA 94533 | 2017-09-07 |
| 1780119867 | Justin Denhart Dickson | Student in an Organized Health Care Education/Training Program | 101 Bodin Cir Fairfield Ca 94533, David Grant Medical Center, Fpo, AA 94533 | 2017-04-26 |
| 1639613409 | Behrooz Shafiezadeh | Marriage & Family Therapist | Caminar, 601 Madison Street, Suite D, Fairfield, CA 94533 | 2016-12-13 |
| 1427500164 | Tanya Ayers | Counselor | 801 Empire Street, Fairfield, CA 94533 | 2016-10-28 |
| Find all providers in zip 94533 | ||||
| Taxonomy Code | 261QP2000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Physical Therapy |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669009973 | Arvin Velarde | Clinic/Center | 630 Verona Ct, Fairfield, CA 94534-6752 | 2020-03-25 |
| 1740577964 | Kevin Norman Kopack | Clinic/Center | 297 Passaic Ave, Unit 3, Fairfield, NJ 07004-2503 | 2011-07-08 |
| 1235166513 | Matrix Rehabilitation Ohio, Inc | Clinic/Center | 3174 Mack Rd, Unit 6&7, Fairfield, OH 45014-5369 | 2006-06-26 |
| 1477197747 | Manual Therapy Specialists | Clinic/Center | 1300 Post Rd Ste 210, Fairfield, CT 06824-6038 | 2019-10-30 |
| 1578104667 | Perfect Ten Physical Therapy | Clinic/Center | 27 Law Dr, Fairfield, NJ 07004-3206 | 2019-10-01 |
| 1598134082 | Soulcare Physical Therapy,llc | Clinic/Center | 79 S Benson Rd, Fairfield, CT 06824-6230 | 2015-09-15 |
| 1013209139 | Kamryn Michelle Krueger | Clinic/Center | 2000 S Main St, Fairfield, IA 52556-9572 | 2011-05-08 |
| 1255590675 | Preneta Physical Therapy, PC | Clinic/Center | 2119 Post Rd, Fairfield, CT 06824-5657 | 2008-06-02 |
| 1750585386 | Elizabeth L. Upton, Mspt LLC | Clinic/Center | 303 Linwood Ave, Unit 1c, Fairfield, CT 06824-4900 | 2007-06-14 |
| 1154400927 | John Jarecki Physical Therapy Services LLC | Clinic/Center | 1735 Post Rd, Suite 7, Fairfield, CT 06824-5782 | 2006-11-03 |
| Find all providers in FAIRFIELD | ||||
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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.