DR. ROBERT D DAIGLE (NPI# 1942357645) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1942357645 |
| Entity Type | Individual |
| Full Name | DR. ROBERT D DAIGLE |
| Credential | M.D. |
| Practice Address |
1425 Fruitdale Ave San Jose CA 95128-3234 |
| Mailing Address |
Po Box 41458 San Jose CA 95160-1458 |
| Practice Telephone | 4082751010 |
| Practice Fax Number | 4082751066 |
| Mailing Telephone | 4089979648 |
| Mailing Fax Number | 4089979645 |
| Enumeration Date | 2007-01-04 |
| Last Update Date | 2009-01-22 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | C42355 | CA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | 00C423551 | 05 | |
| CA | LICENSE # FOR PRIVATE INS | C42355 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033756259 | Robert Daigle | Specialist/Technologist | 130 Central Ave, Lewiston, ME 04240-6042 | 2019-12-06 |
| Street Address |
1425 FRUITDALE AVE |
| City | SAN JOSE |
| State | CA |
| Zip Code | 95128-3234 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376623256 | Crestwood Behavioral Health, Inc | Intermediate Care Facility, Mental Illness | 1425 Fruitdale Ave, San Jose, CA 95128-3234 | 2006-10-16 |
| 1851916415 | Zekarias Eyassu | Licensed Psychiatric Technician | 1425 Fruitdale Ave, San Jose, CA 95128-3234 | 2020-06-10 |
| 1467096099 | Limalyn Cortez Valera | Licensed Vocational Nurse | 1425 Fruitdale Ave, San Jose, CA 95128-3234 | 2019-11-06 |
| 1598065047 | Crestwood Behavioral Health, Inc. | Psychiatric Hospital | 1425 Fruitdale Ave, San Jose, CA 95128-3234 | 2010-11-01 |
| 1164555686 | Stanislaus County | Community/Behavioral Health | 1425 Fruitdale Ave, San Jose, CA 95128-3234 | 2007-03-13 |
| 1609908276 | Neal H Jacobi | Psychiatry & Neurology | 1425 Fruitdale Ave, San Jose, CA 95128-3234 | 2007-03-09 |
| 1720157050 | Crestwood Behavioral Health, Inc. | Assisted Living Facility | 1425 Fruitdale Ave, San Jose, CA 95128-3234 | 2006-11-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982227138 | Ruth Larsen | Social Worker | 850 S. Bascom Avenue, Suite 280, San Jose, CA 95128 | 2020-05-22 |
| 1265067185 | Of Two Minds Psychotherapy | Marriage & Family Therapist | 190 S. Bascom Ave, Ste 130, San Jose, CA 95128 | 2020-03-11 |
| 1982244166 | Cindy Pantoja Escobar | Behavior Technician | 100 O'connor Drive, Suites 21, San Jose, CA 95128 | 2020-01-15 |
| 1104460591 | Katherine Alexandra Misogas | Pharmacist | 777 Turner Dr # 330, San Jose, CA 95128 | 2019-10-29 |
| 1942842216 | Jodie Pierce | Marriage & Family Therapist | 871 Enborg Lane, San Jose, CA 95128 | 2019-10-08 |
| 1003466434 | Dong Mi Cha | Pharmacist | 777 Turner Dr Ste 330, San Jose, CA 95128 | 2019-09-17 |
| 1114571759 | Sleep Well Acupuncture, Inc | Acupuncturist | 1361 S Winchester Blvd Suite 206, San Jose, CA 95128 | 2019-08-01 |
| 1083277677 | Wellocity, Inc | Health Educator | 334 Santana Row, 318, San Jose, CA 95128 | 2019-04-18 |
| 1518428812 | Alexander Diaz | Radiology | 75 South Bascom Ave, San Jose, CA 95128 | 2019-03-28 |
| 1720542103 | Nanci R Price Inc | Chiropractor | 100 O'connor Dr., Ste 27, San Jose, CA 95128 | 2019-01-30 |
| Find all providers in zip 95128 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922658723 | Mai Medical, Inc. | Family Medicine | 2641 Senter Rd, San Jose, CA 95111-1122 | 2019-09-13 |
| 1740712421 | Emily Hsiao | Family Medicine | 276 International Cir Unit D, San Jose, CA 95119-1130 | 2017-03-31 |
| 1629526264 | John Heringer | Family Medicine | 2823 Cardinal Ln, San Jose, CA 95125-4800 | 2016-09-12 |
| 1598152043 | Shoaib Khalid | Family Medicine | 6658 Mount Holly Dr, San Jose, CA 95120-1931 | 2015-04-22 |
| 1942604665 | Kyaw Min | Family Medicine | 2395 Montpelier Dr Ste 4, San Jose, CA 95116-1619 | 2014-10-09 |
| 1679996151 | Qingbo Sui | Family Medicine | 1870 Lundy Avenue, San Jose, CA 95131-1826 | 2014-02-04 |
| 1972938801 | Claudine Lott | Family Medicine | 145 Nicholson Ln, San Jose, CA 95134 | 2013-09-11 |
| 1689016271 | Valerie Halls | Family Medicine | 276 International Cir Unit G, San Jose, CA 95119-1130 | 2013-07-23 |
| 1114366572 | Maryam Kalami | Family Medicine | 1451 Regalo Ct, San Jose, CA 95128-4523 | 2013-06-19 |
| 1750725511 | Sreelata Kintala | Family Medicine | 746 The Alameda Ste 10, San Jose, CA 95126-3178 | 2013-04-24 |
| 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.