LARRY MACHMUD (NPI# 1801224233) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1801224233 |
| Entity Type | Individual |
| Full Name | LARRY MACHMUD |
| Credential | P.T. |
| Practice Address |
12730 Heacock St 4b Moreno Valley CA 92553-3070 |
| Mailing Address |
1676 E 6th St Suite C Beaumont CA 92223-5760 |
| Practice Telephone | 9519248300 |
| Practice Fax Number | 9519248331 |
| Mailing Telephone | 9517690300 |
| Mailing Fax Number | 9517692811 |
| Enumeration Date | 2013-10-22 |
| Last Update Date | 2013-10-22 |
| 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 |
39344 | CA | Allopathic & Osteopathic Physicians |
| Street Address |
12730 HEACOCK ST 4B |
| City | MORENO VALLEY |
| State | CA |
| Zip Code | 92553-3070 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245397496 | Logihealth | Clinic/Center | 12730 Heacock St, Suite #4, Moreno Valley, CA 92553-3040 | 2007-01-03 |
| 1760869770 | Integralife Health & Trauma Institute, LLC | Counselor | 12730 Heacock St, Suite 7, Moreno Valley, CA 92553-3070 | 2015-04-28 |
| 1225334717 | Raafat George Gerges | Pharmacist | 12730 Heacock St, Suite 1, Moreno Valley, CA 92553-3040 | 2011-02-01 |
| 1063663656 | Family Health Inc | Pediatrics | 12730 Heacock St, #4, Moreno Valley, CA 92553-3040 | 2008-10-01 |
| 1174796957 | Chanel Alecia Serano | Marriage & Family Therapist | 12730 Heacock St, Moreno Valley, CA 92553-3040 | 2008-04-11 |
| 1902087778 | Blessing A. Okoro Rellias | Counselor | 12730 Heacock St, Suite #7, Moreno Valley, CA 92553-3070 | 2007-11-20 |
| 1619165271 | Humanistic Counseling Center | Community/Behavioral Health | 12730 Heacock St, Moreno Valley, CA 92553-3040 | 2007-10-09 |
| 1902093487 | April Marie Kiecolt | Student in an Organized Health Care Education/Training Program | 12730 Heacock St, Moreno Valley, CA 92553-3040 | 2007-09-28 |
| 1447396874 | Melissa Christine Darnell | Marriage & Family Therapist | 12730 Heacock St, Suite 3, Moreno Valley, CA 92553-3040 | 2007-01-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104441559 | Tanya Gentle | Marriage & Family Therapist | 2319 Cottonwood Avenue, Building A Suite 110, Moreno Valley, CA 92553 | 2020-06-11 |
| 1275194227 | Antonio Pearce | Psychologist | 12968 Frederick Street, Suite D, Moreno Valley, CA 92553 | 2019-06-20 |
| 1346726486 | Elias Y. Rached | Chiropractor | 23846 Sunnymead Blvd Ste 4, Moreno Valley, CA 92553 | 2018-07-12 |
| 1952813420 | Shanaya Frederick | Driver | 14929 Spinnaker Lane, Moreno Valley, CA 92553 | 2017-10-24 |
| 1457879413 | R & C Logistic Services, LLC | Private Vehicle | 14768 Briana St, Moreno Valley, CA 92553 | 2017-08-30 |
| 1720505084 | Elda Pricila Hernandez | Behavioral Analyst | 24596 Atwood Ave.apt1, Moreno Valley, CA 92553 | 2017-08-28 |
| 1174044101 | Ps Medical Supplies Inc | Durable Medical Equipment & Medical Supplies | 24594 Sunnymead Blvd, Suite M, Moreno Valley, CA 92553 | 2017-06-29 |
| 1942736327 | Richard Pantoja Reyna | Licensed Vocational Nurse | 23119 Cottonwood Ave Bld A Suite 110, Moreno Valley, CA 92553 | 2017-05-04 |
| 1255872719 | Sibonisiwe Moyo Johnson | Nurse Practitioner | 22555 Alessandro Blvd Ste B, Moreno Valley, CA 92553 | 2017-03-16 |
| 1518311190 | Ryan Macavinta | Nurse Practitioner | 22765 Alessandro Blvd., Moreno Valley, CA 92553 | 2016-04-20 |
| Find all providers in zip 92553 | ||||
| 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 |
|---|---|---|---|---|
| 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 | ||||
| City | MORENO VALLEY |
| Zip Code | 92553 |
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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.