Jason Lagmay Prestosa (NPI# 1568837532, PAC ID# 0547567307) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PHYSICAL THERAPY.
| Nation Provider ID (NPI) | 1568837532 |
| PAC ID by PECOS | 0547567307 |
| Professional Enrollment ID | I20160323000706 |
| Full Name | Jason Lagmay Prestosa |
| Organization Legal Name | SPORT CLINIC INC |
| Address |
39180 Farwell Dr Suite 101 Fremont CA 94538-1052 |
| Phone Number | 5104380294 |
| Gender | M |
| Graduation Year | 2015 |
| Primary Specialty | PHYSICAL THERAPY |
| Group Practice PAC ID | 1153329883 |
| Number of Group Practice Members | 3 |
| Accepts Medicare Assignment | M |
| Address | Phone | Organization |
|---|---|---|
| 39180 Farwell Dr, Suite 101, Fremont, CA 94538-1052 | 5104380294 | SPORT CLINIC INC |
| Organization Legal Name | SPORT CLINIC INC |
| Physicians | 3 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Michelle Keiko Nomura | Physical Therapy | Sport Clinic Inc | 39180 Farwell Dr, Suite 101, Fremont, CA 94538-1052 |
| Darryl L Lopez | Physical Therapy | Sport Clinic Inc | 39180 Farwell Dr, Suite 101, Fremont, CA 94538-1052 |
| Street Address |
39180 FARWELL DR SUITE 101 |
| City | FREMONT |
| State | CA |
| Zip | 94538-1052 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| John W Jaureguito | Orthopedic Surgery | Orthopaedic Sports Specialists A Medical Corp. | 39180 Farwell Dr, Suite 110, Fremont, CA 94538-1052 |
| Andre N Gay | Orthopedic Surgery | Orthopaedic Sports Specialists A Medical Corp. | 39180 Farwell Dr, Suite 110, Fremont, CA 94538-1052 |
| Basil R Besh | Orthopedic Surgery | Basil R Besh Md Inc | 39180 Farwell Dr, Suite 211, Fremont, CA 94538-1015 |
| Joshua Ramos | Occupational Therapy | Basil R Besh Md Inc | 39180 Farwell Dr, Fremont, CA 94538-1015 |
| Kevin Ngai Ming Yeung | Occupational Therapy | Basil R Besh Md Inc | 39180 Farwell Dr, Suite 211, Fremont, CA 94538-1015 |
| Geeta Nasika | Physical Therapy | Basil R Besh Md Inc | 39180 Farwell Dr, Suite 211, Fremont, CA 94538-1015 |
| Marci C Kneeter | Physical Therapy | Basil R Besh Md Inc | 39180 Farwell Dr, Suite 231, Fremont, CA 94538-1015 |
| Kelly Trautman | Occupational Therapy | Basil R Besh Md Inc | 39180 Farwell Dr, Suite 211, Fremont, CA 94538-1015 |
| Emily Hartnett | Occupational Therapy | Basil R Besh Md Inc | 39180 Farwell Dr, Suite 211, Fremont, CA 94538-1015 |
| Michelle Keiko Nomura | Physical Therapy | Sport Clinic Inc | 39180 Farwell Dr, Suite 101, Fremont, CA 94538-1052 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Joshua M Matthews | Orthopedic Surgery | Basil R Besh Md Inc | 39180 Farwell Dr, Suite 231, Fremont, CA 94538-1015 |
| Troy Clark Shelton | Occupational Therapy | Basil R Besh Md Inc | 39180 Farwell Dr, Suite 211, Fremont, CA 94538-1015 |
| Joan P Ferrari | Occupational Therapy | Basil R Besh Md Inc | 39180 Farwell Dr, Suite 211, Fremont, CA 94538-1015 |
| Deanna Descamp | Occupational Therapy | Basil R Besh Md Inc | 39180 Farwell Dr, Fremont, CA 94538-1015 |
| Diana C Fitts | Occupational Therapy | Basil R Besh Md Inc | 39180 Farwell Dr, Fremont, CA 94538-1015 |
| Darryl L Lopez | Physical Therapy | Sport Clinic Inc | 39180 Farwell Dr, Suite 101, Fremont, CA 94538-1052 |
| Janice O Cooper | Nurse Practitioner | Orthopaedic Sports Specialists A Medical Corp. | 39180 Farwell Dr, Suite 110, Fremont, CA 94538-1052 |
| Benjamin T Le | Physician Assistant | Orthopedic Sports Specialists A Medical Corp | 39180 Farwell Dr, Suite 110, Fremont, CA 94538-1052 |
| Laureto Ray Aseo | Physical Therapy | Physiotherapy Associates Inc | 3905 Beacon Ave, Fremont, CA 94538-1405 |
| Matthew C Stauffer | Physical Therapy | Physiotherapy Associates Inc | 3905 Beacon Ave, Fremont, CA 94538-1405 |
| Find all physicians in zip 94538 | |||
| City | FREMONT |
| Zip Code | 94538 |
| Specialty | PHYSICAL THERAPY |
| City + Specialty | FREMONT + PHYSICAL THERAPY |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.