Andrew J Novencido (NPI# 1447723937, PAC ID# 4789922980) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PHYSICAL THERAPY.
| Nation Provider ID (NPI) | 1447723937 |
| PAC ID by PECOS | 4789922980 |
| Professional Enrollment ID | I20190213003151 |
| Full Name | Andrew J Novencido |
| Organization Legal Name | RISE PHYSICAL THERAPY INC |
| Address |
1155 13th St Imperial Beach CA 91932-3608 |
| Phone Number | 3104693595 |
| Gender | M |
| Graduation Year | 2018 |
| Primary Specialty | PHYSICAL THERAPY |
| Group Practice PAC ID | 2062636079 |
| Number of Group Practice Members | 14 |
| Accepts Medicare Assignment | M |
| Address | Phone | Organization |
|---|---|---|
| 1155 13th St, Imperial Beach, CA 91932-3608 | 3104693595 | RISE PHYSICAL THERAPY INC |
| Organization Legal Name | RISE PHYSICAL THERAPY INC |
| Physicians | 16 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Paul Roh | Physical Therapy | Rise Physical Therapy Inc | 1155 13th St, Imperial Beach, CA 91932-3608 |
| Michael James Hollstegge | Physical Therapy | Rise Physical Therapy Inc | 6451 El Camino Real, Suite 2, Carlsbad, CA 92009-2800 |
| Aaron Alexander | Physical Therapy | Rise Physical Therapy Inc | 380 Stevens Ave, Suite 314, Solana Beach, CA 92075-2069 |
| David Timothy Bailey | Physical Therapy | Rise Physical Therapy Inc | 380 Stevens Ave, Suite 314, Solana Beach, CA 92075-2069 |
| Thomas Williams Russell | Physical Therapy | Rise Physical Therapy Inc | 1155 13th St, Imperial Beach, CA 91932-3608 |
| Alex Kelso | Physical Therapy | Rise Physical Therapy Inc | 1155 13th St, Imperial Beach, CA 91932-3608 |
| Bryan Mcleod | Physical Therapy | Rise Physical Therapy Inc | 1155 13th St, Imperial Beach, CA 91932-3608 |
| Brittany Revell | Physical Therapy | Rise Physical Therapy Inc | 1155 13th St, Imperial Beach, CA 91932-3608 |
| Martin Nguyen | Physical Therapy | Rise Physical Therapy Inc | 380 Stevens Ave, Suite 314, Solana Beach, CA 92075-2069 |
| Angela Wunder | Physical Therapy | Rise Physical Therapy Inc | 1155 13th St, Imperial Beach, CA 91932-3608 |
| Street Address |
1155 13TH ST |
| City | IMPERIAL BEACH |
| State | CA |
| Zip | 91932-3608 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Paul Roh | Physical Therapy | Rise Physical Therapy Inc | 1155 13th St, Imperial Beach, CA 91932-3608 |
| Thomas Williams Russell | Physical Therapy | Rise Physical Therapy Inc | 1155 13th St, Imperial Beach, CA 91932-3608 |
| Alex Kelso | Physical Therapy | Rise Physical Therapy Inc | 1155 13th St, Imperial Beach, CA 91932-3608 |
| Bryan Mcleod | Physical Therapy | Rise Physical Therapy Inc | 1155 13th St, Imperial Beach, CA 91932-3608 |
| Brittany Revell | Physical Therapy | Rise Physical Therapy Inc | 1155 13th St, Imperial Beach, CA 91932-3608 |
| Angela Wunder | Physical Therapy | Rise Physical Therapy Inc | 1155 13th St, Imperial Beach, CA 91932-3608 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Sadeeq Sadiq | Emergency Medicine | 600 Palm Ave, 108a, Imperial Beach, CA 91932-1200 | |
| Vernon Gregory Phillips | Family Medicine | 707 Palm Ave, Imperial Beach, CA 91932-1229 | |
| Faith P Chisum | Family Medicine | Imperial Beach Community Clinic | 949 Palm Ave, Imperial Beach, CA 91932-1503 |
| Heather A Calzada | Nurse Practitioner | Imperial Beach Community Clinic | 949 Palm Ave, Imperial Beach, CA 91932-1503 |
| Randall A Roark | Nurse Practitioner | Imperial Beach Community Clinic | 949 Palm Ave, Imperial Beach, CA 91932-1503 |
| Danielle M Richardson | Family Medicine | Imperial Beach Community Clinic | 949 Palm Ave, Imperial Beach, CA 91932-1503 |
| Judith Ann Winhoven | Certified Nurse Midwife (cnm) | Imperial Beach Community Clinic | 949 Palm Ave, Imperial Beach, CA 91932-1503 |
| Francesca A O'brien | Nurse Practitioner | Imperial Beach Community Clinic | 949 Palm Ave, Imperial Beach, CA 91932-1503 |
| Eric J Leute | Family Medicine | Imperial Beach Community Clinic | 949 Palm Ave, Imperial Beach, CA 91932-1503 |
| Kelley J De Leeuw | Family Medicine | Imperial Beach Community Clinic | 949 Palm Ave, Imperial Beach, CA 91932-1503 |
| Find all physicians in zip 91932 | |||
| City | IMPERIAL BEACH |
| Zip Code | 91932 |
| Specialty | PHYSICAL THERAPY |
| City + Specialty | IMPERIAL BEACH + 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.