NITIN K PRABHAKAR (NPI# 1043700735) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1043700735 |
| Entity Type | Individual |
| Full Name | NITIN K PRABHAKAR |
| Credential | MD |
| Practice Address |
450 Broadway St Fl C4 Redwood City CA 94063 |
| Mailing Address |
450 Broadway St Fl C4 Redwood City CA 94063-3132 |
| Practice Telephone | 6507217627 |
| Mailing Telephone | 6507217627 |
| Enumeration Date | 2018-05-17 |
| Last Update Date | 2019-10-28 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207R00000X | Internal Medicine | R76840 | AZ | Allopathic & Osteopathic Physicians |
| Y | 208100000X | Physical Medicine & Rehabilitation | A164044 | CA | Allopathic & Osteopathic Physicians |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 5301 E Grant Rd, Tucson, AZ 857122805 | 5203245096 |
| Street Address |
450 BROADWAY ST FL C4 |
| City | REDWOOD CITY |
| State | CA |
| Zip Code | 94063 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649449448 | Yousik Roh | Physical Medicine & Rehabilitation | 450 Broadway St Fl C4, Mc6342, Redwood City, CA 94063-3132 | 2008-02-26 |
| 1710449723 | Joanne Yijie Zhou | Student in an Organized Health Care Education/Training Program | 450 Broadway St Fl C4, Redwood City, CA 94063-3132 | 2019-04-01 |
| 1558822650 | Christopher Scott Frey | Student in an Organized Health Care Education/Training Program | 450 Broadway St Fl C4, Redwood City, CA 94063-3132 | 2019-03-29 |
| 1841751906 | Rosa Valtanen | Student in an Organized Health Care Education/Training Program | 450 Broadway St Fl C4, Redwood City, CA 94063-3132 | 2019-03-29 |
| 1528565637 | Michael William Heffner | Student in an Organized Health Care Education/Training Program | 450 Broadway St Fl C4, Redwood City, CA 94063-3132 | 2018-04-06 |
| 1619472602 | Christopher Michael Laprade | Student in an Organized Health Care Education/Training Program | 450 Broadway St Fl C4, Redwood City, CA 94063-3132 | 2018-03-29 |
| 1437684404 | Rachel Teranishi | Student in an Organized Health Care Education/Training Program | 450 Broadway St Fl C4, Redwood City, CA 94063-3132 | 2017-04-26 |
| 1336514975 | Chin Tat Lim | Orthopaedic Surgery | 450 Broadway St Fl C4, Department of Orthopaedic Surgery, Redwood City, CA 94063-3132 | 2015-12-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578104378 | Jade Francetich | Psychologist | 450 Broadway St., Pavilion B 2nd Floor, Redwood City, CA 94063 | 2019-10-02 |
| 1861052060 | County of San Mateo | Clinic/Center | 1300 Maple St., Redwood City, CA 94063 | 2019-06-19 |
| 1750941977 | County of San Mateo | Clinic/Center | 300 Bradford St., Redwood City, CA 94063 | 2019-06-19 |
| 1023678661 | Linda K Watanabe | Preventive Medicine | 700 Bay Rd. #2803, Redwood City, CA 94063 | 2019-06-17 |
| 1235630369 | Waverly Place Apartments, Lp | Case Management | 105 Waverly Place, Redwood City, CA 94063 | 2018-02-23 |
| 1306371679 | Caely Alise Hambro | Student in an Organized Health Care Education/Training Program | Stanford Dermatology, 430 Broadway, Redwood City, CA 94063 | 2017-04-25 |
| 1609316736 | Justine Nicole Dela Cruz | Nurse Practitioner | 420 Broadway St # D, Redwood City, CA 94063 | 2017-03-08 |
| 1336683234 | Babita Chopra | Pharmacist | 2300 Middlefield Road, Redwood City, CA 94063 | 2016-12-12 |
| 1073065595 | Diana Genoveva Posner I | Counselor | 604 Prince Ave. Ste A, Redwood City, CA 94063 | 2016-11-01 |
| 1295288264 | Benjamin Dickter | Student in an Organized Health Care Education/Training Program | 1107 2nd Ave, Apt 103, Redwood City, CA 94063 | 2016-07-26 |
| Find all providers in zip 94063 | ||||
| Taxonomy Code | 208100000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Physical Medicine & Rehabilitation |
| Physical medicine and rehabilitation, also referred to as rehabilitation medicine, is the medical specialty concerned with diagnosing, evaluating, and treating patients with physical disabilities. These disabilities may arise from conditions affecting the musculoskeletal system such as neck and back pain, sports injuries, or other painful conditions affecting the limbs, such as carpal tunnel syndrome. Alternatively, the disabilities may result from neurological trauma or disease such as spinal cord injury, head injury or stroke. A physician certified in physical medicine and rehabilitation is often called a physiatrist. The primary goal of the physiatrist is to achieve maximal restoration of physical, psychological, social and vocational function through comprehensive rehabilitation. Pain management is often an important part of the role of the physiatrist. For diagnosis and evaluation, a physiatrist may include the techniques of electromyography to supplement the standard history, physical, x-ray and laboratory examinations. The physiatrist has expertise in the appropriate use of therapeutic exercise, prosthetics (artificial limbs), orthotics and mechanical and electrical devices. |
| 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 Physical Medicine and Rehabilitation, 2007. http://www.abpmr.org/. American Osteopathic Board of Physical Medicine and Rehabilitation, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Physical Medicine and Rehabilitation. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Physical Medicine and Rehabilitation. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104222702 | Jennifer Schriefer Williams | Physical Medicine & Rehabilitation | 797 Arguello St, Redwood City, CA 94063-1357 | 2014-11-07 |
| 1649449448 | Yousik Roh | Physical Medicine & Rehabilitation | 450 Broadway St Fl C4, Mc6342, Redwood City, CA 94063-3132 | 2008-02-26 |
| 1124350103 | Laine Watanabe | Physical Medicine & Rehabilitation | 450 Broadway St, Mc 6342, Redwood City, CA 94063-3132 | 2010-02-02 |
| 1891854568 | Mark Jordan Sontag | Physical Medicine & Rehabilitation | 363 Main St, Suite C, Redwood City, CA 94063-1729 | 2006-12-08 |
| 1992879217 | Elizabeth R. Heilman | Physical Medicine & Rehabilitation | 1150 Veterans Blvd, Redwood City, CA 94063-2037 | 2006-11-20 |
| 1144394743 | Katharine W. Lai | Physical Medicine & Rehabilitation | 1150 Veterans Blvd, Redwood City, CA 94063-2037 | 2006-11-17 |
| 1114091717 | Ramon A. Quesada | Physical Medicine & Rehabilitation | 1150 Veterans Blvd, Redwood City, CA 94063-2037 | 2006-11-17 |
| 1396817136 | Carol Jean Treinen | Physical Medicine & Rehabilitation | 1150 Veterans Blvd, Redwood City, CA 94063-2037 | 2006-11-15 |
| 1194803635 | Raymond S. Lai | Physical Medicine & Rehabilitation | 1150 Veterans Blvd, Redwood City, CA 94063-2037 | 2006-11-01 |
| 1437237021 | Srinivas Ganesh | Physical Medicine & Rehabilitation | 1150 Veterans Blvd, Redwood City, CA 94063-2037 | 2006-11-01 |
| Find all providers in REDWOOD CITY | ||||
| City | REDWOOD CITY |
| Zip Code | 94063 |
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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.