JLD ALL-STARS (NPI# 1053941989) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1053941989 |
| Entity Type | Organization |
| Organization Name | JLD ALL-STARS |
| Practice Address |
826 N Winchester Blvd Ste 2g San Jose CA 95128-1357 |
| Practice Telephone | 4083372727 |
| Practice Fax Number | 4084784130 |
| Mailing Telephone | 4083372727 |
| Mailing Fax Number | 4084784130 |
| Enumeration Date | 2020-01-20 |
| Last Update Date | 2020-01-20 |
| Authorized Official Name | JENNIFER L DAVIS (OWER/OPERATOR) |
| Authorized Official Telephone | 4083372727 |
| Authorized Official Credential | MS, OTR/L |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 225X00000X | Occupational Therapist | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | ||
| N | 225XF0002X |
Occupational Therapist Specialization: Feeding, Eating & Swallowing |
Respiratory, Developmental, Rehabilitative and Restorative Service Providers | ||
| N | 225XP0200X |
Occupational Therapist Specialization: Pediatrics |
Respiratory, Developmental, Rehabilitative and Restorative Service Providers | ||
| N | 235Z00000X | Speech-Language Pathologist | Speech, Language and Hearing Service Providers | ||
| N | 252Y00000X | Early Intervention Provider Agency | Agencies | ||
| Y | 261QD1600X |
Clinic/Center Specialization: Developmental Disabilities |
Ambulatory Health Care Facilities |
| Street Address |
826 N WINCHESTER BLVD STE 2G |
| City | SAN JOSE |
| State | CA |
| Zip Code | 95128-1357 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952853335 | Amberlynn Slavin | Occupational Therapist | 826 N Winchester Blvd Ste 2g, San Jose, CA 95128-1357 | 2016-11-01 |
| 1891306486 | Jennifer Garcia | Occupational Therapist | 826 N Winchester Blvd Ste 2g, San Jose, CA 95128-1357 | 2020-08-16 |
| 1023636818 | Jessica Marie Stewart | Speech-Language Pathologist | 826 N Winchester Blvd Ste 2g, San Jose, CA 95128-1357 | 2020-07-08 |
| 1780204321 | Nina Caudill | Occupational Therapist | 826 N Winchester Blvd Ste 2g, San Jose, CA 95128-1357 | 2020-04-23 |
| 1619508496 | Anne Elizabeth Elliott | Occupational Therapist | 826 N Winchester Blvd Ste 2g, San Jose, CA 95128-1357 | 2020-01-30 |
| 1245795681 | Devyn Camille Lujan | Speech-Language Pathologist | 826 N Winchester Blvd Ste 2g, San Jose, CA 95128-1357 | 2019-02-08 |
| 1770067340 | Nandita Shridhara Upadhyaya | Speech-Language Pathologist | 826 N Winchester Blvd Ste 2g, San Jose, CA 95128-1357 | 2018-09-19 |
| 1174014658 | Yuan Tao | Occupational Therapist | 826 N Winchester Blvd Ste 2g, San Jose, CA 95128-1357 | 2018-05-21 |
| 1235632118 | Lauren Kufer | Occupational Therapist | 826 N Winchester Blvd Ste 2g, San Jose, CA 95128-1357 | 2018-03-16 |
| 1972004968 | Nicole Morante | Speech-Language Pathologist | 826 N Winchester Blvd Ste 2g, San Jose, CA 95128-1357 | 2018-02-24 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982227138 | Ruth Larsen | Social Worker | 850 S. Bascom Avenue, Suite 280, San Jose, CA 95128 | 2020-05-22 |
| 1265067185 | Of Two Minds Psychotherapy | Marriage & Family Therapist | 190 S. Bascom Ave, Ste 130, San Jose, CA 95128 | 2020-03-11 |
| 1982244166 | Cindy Pantoja Escobar | Behavior Technician | 100 O'connor Drive, Suites 21, San Jose, CA 95128 | 2020-01-15 |
| 1104460591 | Katherine Alexandra Misogas | Pharmacist | 777 Turner Dr # 330, San Jose, CA 95128 | 2019-10-29 |
| 1942842216 | Jodie Pierce | Marriage & Family Therapist | 871 Enborg Lane, San Jose, CA 95128 | 2019-10-08 |
| 1003466434 | Dong Mi Cha | Pharmacist | 777 Turner Dr Ste 330, San Jose, CA 95128 | 2019-09-17 |
| 1114571759 | Sleep Well Acupuncture, Inc | Acupuncturist | 1361 S Winchester Blvd Suite 206, San Jose, CA 95128 | 2019-08-01 |
| 1083277677 | Wellocity, Inc | Health Educator | 334 Santana Row, 318, San Jose, CA 95128 | 2019-04-18 |
| 1518428812 | Alexander Diaz | Radiology | 75 South Bascom Ave, San Jose, CA 95128 | 2019-03-28 |
| 1720542103 | Nanci R Price Inc | Chiropractor | 100 O'connor Dr., Ste 27, San Jose, CA 95128 | 2019-01-30 |
| Find all providers in zip 95128 | ||||
| Taxonomy Code | 261QD1600X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Developmental Disabilities |
| An entity, facility, or distinct part of a facility providing comprehensive, multidiscipline diagnostic, treatment, therapy, training, and counseling services to children with congenital disorders that precipitate developmental delays and in many instances mental deficiencies (e.g., Cerebral Palsy, metabolic disorders, Sturge-Weber Syndrome, etc.). |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750625505 | Aspiranet | Clinic/Center | 588 Blossom Hill Rd, San Jose, CA 95123-3200 | 2012-11-18 |
| 1710148515 | Agnews Community Clinic | Clinic/Center | 3500 Zanker Rd, San Jose, CA 95134-2201 | 2008-06-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639778525 | Firefly Center: Therapy Services for Children | Clinic/Center | 1601 Old Bayshore Hwy Ste 221, Burlingame, CA 94010-1508 | 2020-10-21 |
| 1245718287 | Rapha Rehabilities | Clinic/Center | 4959 Palo Verde St Ste 110b, Montclair, CA 91763-2303 | 2018-08-01 |
| 1265946586 | California Sleep Neurology Organization for Wellness | Clinic/Center | 2651 Elm Avenue, Suite 205, Long Beach, CA 90806 | 2017-11-22 |
| 1407374333 | Social Skills Training and Resources | Clinic/Center | 157 Grand Ave Ste 205, Pacific Grove, CA 93950-2752 | 2017-08-30 |
| 1588047492 | Autism Center of Northern California | Clinic/Center | 870 Market St Ste 472-476, San Francisco, CA 94102-3001 | 2015-07-09 |
| 1962806166 | Rady Childrens Hospital-san Diego | Clinic/Center | 3665 Kearny Villa Rd Ste 440, San Diego, CA 92123-1953 | 2014-10-17 |
| 1356683015 | Speechcom Incorporated | Clinic/Center | 2850 Artesia Blvd Ste 107, Redondo Beach, CA 90278-3412 | 2013-03-20 |
| 1619263266 | Russo, Fleck & Associates | Clinic/Center | 960 W Town and Country Rd, Orange, CA 92868-4714 | 2011-06-22 |
| 1316252000 | Pediatric Minds Medical Center | Clinic/Center | 3524 Torrance Blvd Ste 103, Torrance, CA 90503-4821 | 2010-08-18 |
| 1700117082 | Blackwell Homes | Clinic/Center | 1646 S Wright Rd, Santa Rosa, CA 95407-7318 | 2010-01-26 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on JLD ALL-STARS.
| 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.