MICHAEL JAMES VANDENBROEK (NPI# 1841725868) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1841725868 |
| Entity Type | Individual |
| Full Name | MICHAEL JAMES VANDENBROEK |
| Practice Address |
6905 Skyline Dr San Diego CA 92114-5928 |
| Mailing Address |
819 Appleton Ct Oceanside CA 92057-6905 |
| Practice Telephone | 7607078857 |
| Mailing Telephone | 7607078857 |
| Enumeration Date | 2017-04-27 |
| Last Update Date | 2017-04-27 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2255A2300X |
Specialist/Technologist Specialization: Athletic Trainer |
Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
6905 SKYLINE DR |
| City | SAN DIEGO |
| State | CA |
| Zip Code | 92114-5928 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396845277 | Elaine Gabayan Mains | Marriage & Family Therapist | 6905 Skyline Dr, San Diego, CA 92114-5928 | 2006-09-22 |
| 1548615487 | Vista Hill Foundation | Community/Behavioral Health | 6905 Skyline Dr, B21, San Diego, CA 92114-5928 | 2016-04-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689280422 | Jason Vince Rather | Counselor | 333 Ledgewood Lane, San Diego, San Diego, CA 92114 | 2020-09-17 |
| 1144882622 | Melissa Ratsamy | Peer Specialist | 286 Euclid Ave Project Enable, #102, San Diego, CA 92114 | 2019-07-03 |
| 1285113951 | Janet Miller | Prosthetist | 6662 Charlene Ave, San Diego, CA 92114 | 2018-08-13 |
| 1568828671 | Ceferina Pulgar Ruiz | General Practice | 6809 Freed Manor Lane, San Diego, CA 92114 | 2016-01-05 |
| 1275919227 | Susan Reyes | Registered Nurse | 802a Cardiff Street, San Diego, CA 92114 | 2015-07-31 |
| 1760829097 | Rea Ordono Porciuncula | Registered Nurse | 982 Worthington St., San Diego, CA 92114 | 2013-05-28 |
| 1912170176 | Maxine Whitfield | Specialist | 5844 Mariposa Place, San Diego, CA 92114 | 2008-04-09 |
| 1124210844 | Bahghi Russom Keflezighi | Family Medicine | 220 Euclid Avenue, Suite 40, San Diego, CA 92114 | 2007-08-16 |
| 1982701058 | Mark Leroy Dimry | Pharmacist | 286 N Euclid Ave, Semca Pharmacy, San Diego, CA 92114 | 2006-09-20 |
| 1649241514 | Wendy G Chacon | Pediatrics | 292 Euclid Avenue, #220, San Diego, CA 92114 | 2006-01-30 |
| Find all providers in zip 92114 | ||||
| Taxonomy Code | 2255A2300X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Specialist/Technologist |
| Specialization | Athletic Trainer |
| Athletic trainers are allied health care professionals who work in consultation with or under the direction of physicians, and specialize in the prevention, assessment, treatment and rehabilitation of injuries and illnesses. Currently, the entry-level employment requirements are a bachelor’s degree with a major in athletic training from an accredited university or college. A majority of athletic trainers hold advanced degrees. National board certification is generally required as a condition of state licensure and employment. Most states regulate athletic trainers, and they practice within the scope of that license or regulation. Clinical practice includes emergency care, rehabilitation, reconditioning, therapeutic exercise, wellness programs, exercise physiology, kinesiology, biomechanics, nutrition, psychology and health care administration. |
| Notes: Source: National Athletic Trainers’ Association (www.NATA.org) [1/1/2006: modified definition, modified source] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215540075 | Brianna Paige Corallo | Specialist/Technologist | 4453 Carling Dr, San Diego, CA 92115-5527 | 2020-08-30 |
| 1518578954 | Mina Markley Castleman | Specialist/Technologist | 3864 35th St Apt 12, San Diego, CA 92104-3162 | 2020-08-10 |
| 1518575661 | Jason William Switzer | Specialist/Technologist | 3328 6th Ave, San Diego, CA 92103-5706 | 2020-07-15 |
| 1346858461 | Eduardo Alberto Gallardo Ziramba | Specialist/Technologist | 3142 Ingelow St, San Diego, CA 92106-2222 | 2020-07-14 |
| 1144847641 | Joseph C Claborn | Specialist/Technologist | 7130 Miramar Rd, San Diego, CA 92121-2353 | 2020-06-30 |
| 1215551551 | Jacob Riley Callahan | Specialist/Technologist | 5302 55th St, San Diego, CA 92182-0001 | 2020-06-02 |
| 1598385932 | Nicole Arimboanga Brisco | Specialist/Technologist | 10510 Marauder Way, San Diego, CA 92126-3275 | 2020-04-24 |
| 1861059925 | Tomoko Ohkubo-kuo | Specialist/Technologist | 8780 Parkplace Ct, San Diego, CA 92123-6406 | 2019-05-23 |
| 1720645864 | Bianca Mattioli | Specialist/Technologist | 6191 Rancho Mission Rd Unit 113, San Diego, CA 92108-2238 | 2019-05-23 |
| 1427614700 | Jason Mcmullen | Specialist/Technologist | 3421 36th St Apt 15, San Diego, CA 92104-4434 | 2019-05-13 |
| Find all providers in SAN DIEGO | ||||
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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.