REBECCA A. DEMOREST (NPI# 1891875522) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1891875522 |
| Entity Type | Individual |
| Full Name | REBECCA A. DEMOREST |
| Credential | MD |
| Practice Address |
4000 Dublin Blvd Ste 100 Dublin CA 94568-3122 |
| Mailing Address |
1450 Treat Blvd Ste 300 Walnut Creek CA 94597-2168 |
| Practice Telephone | 9255567320 |
| Practice Fax Number | 9254790231 |
| Mailing Telephone | 9259522888 |
| Enumeration Date | 2006-10-17 |
| Last Update Date | 2018-04-05 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2080S0010X |
Pediatrics Specialization: Sports Medicine |
A105742 | CA | Allopathic & Osteopathic Physicians |
| N | 2080S0010X |
Pediatrics Specialization: Sports Medicine |
MD034832 | DC | Allopathic & Osteopathic Physicians |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 1450 Treat Blvd Ste 160, Walnut Creek, CA 945972168 | 9252966000 |
| Street Address |
4000 DUBLIN BLVD STE 100 |
| City | DUBLIN |
| State | CA |
| Zip Code | 94568-3122 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245874775 | Dawn Wong | Physician Assistant | 4000 Dublin Blvd Ste 100, Dublin, CA 94568-3122 | 2019-10-28 |
| 1306322045 | Stephanie Karalis Thompson | Physician Assistant | 4000 Dublin Blvd Ste 100, Dublin, CA 94568-3122 | 2018-07-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184242224 | Lisa Marie Casey | Case Manager/Care Coordinator | 5149 Gleason Dr. Dublin, Ca 94568, Dublin, CA 94568 | 2020-07-06 |
| 1669029187 | Orlando Jesus Olivera | Behavior Technician | 7567 Amador Valley Blvd Suite 109, Dublin, CA 94568 | 2019-08-20 |
| 1225682867 | Tiana K St Jean | Behavior Technician | 4228 Loyalton Rd, Dublin, CA 94568 | 2019-08-01 |
| 1205398005 | Shawna Marie Green | Behavior Technician | 7565 Amador Valley Blvd, 109, Dublin, CA 94568 | 2019-04-02 |
| 1235613779 | Zachery Joseph Lupton | Assistant Behavior Analyst | 5601 Arnold Rd. Suite 102, Dublin, CA 94568 | 2018-09-20 |
| 1235629361 | Anthony John E. Castanares | Optometrist | 7763 Squirrel Creek Cir, Dublin, CA 94568 | 2018-05-15 |
| 1134637697 | Justin Yun | Physical Therapist | 3100 Dublin Medical Offices, Dublin, CA 94568 | 2018-01-18 |
| 1558880062 | Yanxia Li | Nurse Practitioner | 3198 Madden Way, Dublin, CA 94568 | 2017-09-15 |
| 1619407368 | Lzl Health Center | Acupuncturist | 7241 Regional St, Dublin, CA 94568 | 2017-06-15 |
| 1578010120 | Yang Yang | Technician, Other | 5501 Demarcus Blvd, Apt 413, Dublin, CA 94568 | 2016-09-01 |
| Find all providers in zip 94568 | ||||
| Taxonomy Code | 2080S0010X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| Specialization | Sports Medicine |
| A pediatrician who is responsible for continuous care in the field of sports medicine, not only for the enhancement of health and fitness, but also for the prevention of injury and illness. A sports medicine physician must have knowledge and experience in the promotion of wellness and the prevention of injury. Knowledge about special areas of medicine such as exercise physiology, biomechanics, nutrition, psychology, physical rehabilitation, epidemiology, physical evaluation, injuries (treatment and prevention and referral practice) and the role of exercise in promoting a healthy lifestyle are essential to the practice of sports medicine. The sports medicine physician requires special education to provide the knowledge to improve the healthcare of the individual engaged in physical exercise (sports) whether as an individual or in team participation. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Pediatrics. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396008538 | Jonathan Thomas Napolitano | Pediatrics | 5680 Venture Dr, Dublin, OH 43017-2190 | 2012-06-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689228462 | Gameday Sports Medicine Academy | Pediatrics | 3101 Gilmore Ave Ste 100, Bakersfield, CA 93308-6342 | 2019-07-30 |
| 1356683247 | Alana Wright | Pediatrics | 2300 Camino Ramon, San Ramon, CA 94583-1354 | 2013-03-19 |
| 1790929396 | Mark Warshaw | Pediatrics | 8 Mclea Ct, San Francisco, CA 94103-4451 | 2009-04-27 |
| 1730336397 | Stephen S. Chen | Pediatrics | 1777 Botelho Dr Ste 110, Walnut Creek, CA 94596-5083 | 2008-08-25 |
| 1801008917 | Christine Boyd | Pediatrics | 1119 E Stanley Blvd, Livermore, CA 94550-4115 | 2007-05-03 |
| 1427057132 | Eric J Jenkinson | Pediatrics | 1255 Liberty St, Redding, CA 96001-0814 | 2005-07-15 |
| 1912419276 | Alix Mackenzie Wilson | Pediatrics | 747 52nd St, Oakland, CA 94609-1809 | 2017-10-26 |
| 1326581208 | Jessica Mofidi | Pediatrics | 403 W Adams Blvd, Los Angeles, CA 90007-2664 | 2016-11-28 |
| 1861848947 | Michael Joseph Nieto | Pediatrics | 280 S Main St Ste 200, Orange, CA 92868-3852 | 2016-05-09 |
| 1609195452 | Jonathan Lee Minor | Pediatrics | 1310 W Stewart Dr, Suite 508, Orange, CA 92868-3854 | 2010-05-19 |
| 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.