BENITA KIMBALL (NPI# 1053789602) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1053789602 |
| Entity Type | Individual |
| Full Name | BENITA KIMBALL |
| Credential | CMF |
| Practice Address |
1325 Howe Ave 100 Sacramento CA 95825-3364 |
| Practice Telephone | 9164809501 |
| Practice Fax Number | 5103509166 |
| Mailing Telephone | 9164809501 |
| Mailing Fax Number | 5103509166 |
| Enumeration Date | 2015-09-11 |
| Last Update Date | 2017-03-22 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 222Z00000X | Orthotist | C52184 | CA | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | BOC | C52184 | 01 |
| Street Address |
1325 HOWE AVE 100 |
| City | SACRAMENTO |
| State | CA |
| Zip Code | 95825-3364 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780746297 | Deborah Renee Powell | Audiologist | 1325 Howe Ave, Suite 101, Sacramento, CA 95825-3364 | 2006-12-14 |
| 1780249383 | Mansimran Sandhu | Behavior Technician | 1325 Howe Ave, Sacramento, CA 95825-3364 | 2019-05-08 |
| 1295239390 | George Kenyon Shabazz | Behavior Technician | 1325 Howe Ave, Sacramento, CA 95825-3364 | 2018-03-22 |
| 1457854523 | Erin Leann Gottis | Behavior Technician | 1325 Howe Ave, 207, Sacramento, CA 95825 | 2018-03-14 |
| 1205339371 | Natalie Christine Robinson | Behavior Technician | 1325 Howe Ave, Sacramento, CA 95825-3364 | 2018-03-14 |
| 1245698984 | At Last Bra and Lingerie Boutique LLC | Prosthetic/Orthotic Supplier | 1325 Howe Ave, Suite 100, Sacramento, CA 95825-3364 | 2016-02-09 |
| 1760856090 | Apex Care Transportation Inc | Non-emergency Medical Transport (VAN) | 1325 Howe Ave, Suite 111, Sacramento, CA 95825-3364 | 2015-11-24 |
| 1649641887 | University Audiologic Inc. | Audiologist-Hearing Aid Fitter | 1325 Howe Ave, Suite 101, Sacramento, CA 95825-3364 | 2015-10-14 |
| 1083003859 | Martin Mahoney | Behavioral Analyst | 1325 Howe Ave, Suite 207, Sacramento, CA 95825-3364 | 2015-01-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528667854 | Sarah Claudio | Case Manager/Care Coordinator | 650 Howe Ave # 400-b, Sacramento, CA 95825 | 2020-10-19 |
| 1962009308 | Andrea Isabel Morales | Behavior Technician | 333 University Avenue, Suite 200, Sacramento, CA 95825 | 2020-10-08 |
| 1942810510 | Melissa Marlene Lowndes | Occupational Therapist | 1337 Howe Ave Unit 107, Sacramento, CA 95825 | 2020-08-07 |
| 1780294827 | Travis Elliott Peppers | Case Manager/Care Coordinator | 650 Howe Ave Suite 400-b, 650 Howe Ave Suite 400-b, Sacramento, CA 95825 | 2020-08-04 |
| 1154950327 | Hallie Wenz | Behavior Technician | 333 University Ave Suite #200, Sacramento, CA 95825 | 2020-04-08 |
| 1679105456 | Dr. Page Hudson Dental Corporation | Dentist | 1580 Howe Avenue, Suite A, Sacramento, CA 95825 | 2020-02-10 |
| 1710517891 | Amelia Garnica | Community/Behavioral Health | 720 Howe Avenue, Suite 102, Sacamento, CA 95825 | 2020-01-17 |
| 1427697374 | Anthony Barnes | Social Worker | 2008 Morse Avenue, Commons Building, Sacramento, CA 95825 | 2019-12-24 |
| 1528604519 | Mental Health America of Northern California | Community/Behavioral Health | 720 Howe Ave., Suite 102, Cacramento, CA 95825 | 2019-11-25 |
| 1164068144 | Mental Health America of Northern California | Community/Behavioral Health | 720 Howe Ave. Suite, 102, Sacramento, CA 95825 | 2019-11-25 |
| Find all providers in zip 95825 | ||||
| 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 |
|---|---|---|---|---|
| 1043833619 | Tim Shride | Orthotist | 3800 Watt Ave Ste 151, Sacramento, CA 95821-2688 | 2020-05-18 |
| 1245705805 | Jason Frank Wong | Orthotist | 8143 Gandy Dancer Way, Sacramento, CA 95823-5928 | 2018-10-10 |
| 1992993554 | Ferhan Inam Maher | Orthotist | 3001 L St, Sacramento, CA 95816-5225 | 2007-10-09 |
| 1225429798 | Shannon Mullaney | Orthotist | 3001 L St, Sacramento, CA 95816-5225 | 2015-02-05 |
| 1083998124 | Edwin Suarez | Orthotist | 1248 32nd St, Sacramento, CA 95816-5210 | 2011-10-07 |
| 1679861819 | Isagani Roque Alcairo | Orthotist | 2425 Stockton Blvd, #236, Sacramento, CA 95817-2215 | 2011-07-20 |
| 1841588092 | Gregory Thomas Aaron | Orthotist | 2425 Stockton Blvd, #236, Sacramento, CA 95817-2215 | 2011-07-20 |
| 1588950653 | Lucas Broadhurst | Orthotist | 3001 L St, Sacramento, CA 95816-5225 | 2011-06-27 |
| 1679863302 | Richard Aylward | Orthotist | 7601 Hospital Dr, Suite 104b, Sacramento, CA 95823-5408 | 2011-04-14 |
| 1265688592 | David J. Scurti | Orthotist | 3001 L St, Sacramento, CA 95816-5225 | 2008-08-18 |
| Find all providers in SACRAMENTO | ||||
| City | SACRAMENTO |
| Zip Code | 95825 |
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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.