JESSE DETORRES (NPI# 1952599722) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1952599722 |
| Entity Type | Individual |
| Full Name | JESSE DETORRES |
| Credential | CO |
| Practice Address |
433 Hegenberger Rd Ste 100 Oakland CA 94621-1448 |
| Practice Telephone | 5104302500 |
| Mailing Telephone | 5104302500 |
| Enumeration Date | 2007-10-05 |
| Last Update Date | 2007-10-05 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 222Z00000X | Orthotist | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
433 HEGENBERGER RD STE 100 |
| City | OAKLAND |
| State | CA |
| Zip Code | 94621-1448 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629146832 | Hanger Prosthetics & Orthotics West Inc | Durable Medical Equipment & Medical Supplies | 433 Hegenberger Rd Ste 100, Oakland, CA 94621-1448 | 2006-12-04 |
| 1023298205 | Andrew Campbell | Prosthetist | 433 Hegenberger Rd Ste 100, Oakland, CA 94621-1448 | 2007-11-06 |
| 1053509828 | Lucas V Boe | Student in an Organized Health Care Education/Training Program | 433 Hegenberger Rd Ste 100, Oakland, CA 94621-1448 | 2007-10-05 |
| 1417144528 | Richard Ali | Orthotist | 433 Hegenberger Rd Ste 100, Oakland, CA 94621-1448 | 2007-10-02 |
| 1871780981 | Jeanette C Anderson | Orthotic Fitter | 433 Hegenberger Rd Ste 100, Oakland, CA 94621-1448 | 2007-10-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144734864 | Alameda Home Care & Hospice LLC | Home Health | 300 Pendleton Way Ste 328, Oakland, CA 94621 | 2017-11-17 |
| 1760931968 | Maria Martinez | Counselor | 8330 Birch St., Apt. A, Oakland, CA 94621 | 2016-09-28 |
| 1902231301 | East Bay Agencey for Children | Community/Behavioral Health | 1025 81st Ave, Oakland, CA 94621 | 2013-09-05 |
| 1710268016 | Srideep Chatterjee | Pharmacist | 8102 E 14 Th Street, Oakland, CA 94621 | 2011-08-31 |
| 1285953943 | Martin Pacheco | Counselor | 333 Hegenberger Road #600, Oakland, CA 94621 | 2010-05-20 |
| 1821234816 | Raul Mark Miranda Grageda | Physical Therapist | 7817 Oakport Street, Oakland, CA 94621 | 2008-12-23 |
| 1306032156 | Adrienne Claire Lopez Tiley | Counselor | 401 Roland Way Suite 100, Oakland, CA 94621 | 2007-09-14 |
| 1609067610 | Sandra Gaspar | Marriage & Family Therapist | 410 Roland Way. Suite 100, Oakland, CA 94621 | 2007-08-05 |
| 1053512608 | Ellis W. Jones | Counselor | 7501 International Blvd., Oakland, CA 94621 | 2007-05-30 |
| 1851507016 | Keith Reese | Social Worker | 1933-57 Th Avenue, Oakland, CA 94621 | 2007-05-15 |
| Find all providers in zip 94621 | ||||
| Taxonomy Code | 222Z00000X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Orthotist |
| A health care professional who is specifically educated and trained to manage comprehensive orthotic patient care, including musculoskeletal and neuromuscular anomalies resulting from injuries or disease processes involving the lower extremity, upper extremity or spinal segment/s and positional deformation of the cranium. Orthotists assess specific patient needs, formulate an appropriate treatment plan, implement the treatment plan and provide follow-up care. |
| Notes: Source: American Board for Certification in Orthotics, Prosthetics, and Pedorthics, Inc. [7/1/2010: modified, 7/1/2013: modified] Additional Resources: American Board for Certification in Orthotics, Prosthetics and Pedorthics, Inc., www.abcop.org and Board of Certification/Accreditation, International, www.bocusa.org. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508396938 | David Paul Stucki | Orthotist | 10 Evergreen Dr, Oakland, ME 04963-5364 | 2017-06-18 |
| 1073855342 | Tamara Fisher | Orthotist | 2710 Telegraph Ave, Suite 230, Oakland, CA 94612-1770 | 2013-03-25 |
| 1326217357 | Tony L Lafrance | Orthotist | 6001 Telegraph Ave, Oakland, CA 94609-1310 | 2008-02-24 |
| 1063690238 | Robert A Jensen | Orthotist | 6001 Telegraph Ave, Oakland, CA 94609-1310 | 2008-02-09 |
| 1417144528 | Richard Ali | Orthotist | 433 Hegenberger Rd Ste 100, Oakland, CA 94621-1448 | 2007-10-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780284851 | Hannah Mckinsey Oltrogge | Orthotist | 1260 S Main St Ste 102, Salinas, CA 93901-2292 | 2020-10-28 |
| 1639789779 | Dynamics Orthotics & Prosthetics, Inc | Orthotist | 2150 N Waterman Ave Ste 301, San Bernardino, CA 92404-4811 | 2020-08-04 |
| 1043833619 | Tim Shride | Orthotist | 3800 Watt Ave Ste 151, Sacramento, CA 95821-2688 | 2020-05-18 |
| 1255964854 | Stephanie Janae Ybarra | Orthotist | 5412 Avenida De Los Robles, Suite 101, Visalia, CA 93291 | 2020-02-21 |
| 1558994129 | Jacy Kay Young | Orthotist | 1247 E Alluvial Ave Ste 112, Fresno, CA 93720-2686 | 2020-02-21 |
| 1851935217 | Timothy James Johnston | Orthotist | 635 Anderson Rd., Suite 18, Davis, CA 95616 | 2019-10-29 |
| 1629628243 | Christian Rae Figueroa | Orthotist | 19845 Lake Chabot Rd Ste 302, Castro Valley, CA 94546-4055 | 2019-09-16 |
| 1710534821 | Alpha Iscandari Sanusi | Orthotist | 1760 Chicago Ave Ste L21, Riverside, CA 92507-2326 | 2019-08-22 |
| 1255998290 | West Coast Dme & Supplies LLC | Orthotist | 8322 Clairemont Mesa Blvd Ste 105, San Diego, CA 92111-1317 | 2019-05-24 |
| 1043876162 | Kadesh Gamall Gayle | Orthotist | 20595 Spring St, Riverside, CA 92507-0128 | 2019-05-14 |
| 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.