JONATHAN G. WIENS (NPI# 1063590883) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1063590883 |
| Entity Type | Individual |
| Full Name | JONATHAN G. WIENS |
| Credential | MD |
| Practice Address |
2071 Herndon Ave Clovis CA 93611-6101 |
| Mailing Address |
1800 Harrison St Fl 7 Oakland CA 94612-3429 |
| Practice Telephone | 5593245100 |
| Mailing Telephone | 5106256262 |
| Enumeration Date | 2006-11-01 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208100000X | Physical Medicine & Rehabilitation | G68592 | CA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | 00G685920 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497894596 | Jonathan P Wiens | Dentist | 6177 Orchard Lake Road, Suite 120, West Bloomfield, MI 48322 | 2007-02-05 |
| Street Address |
2071 HERNDON AVE |
| City | CLOVIS |
| State | CA |
| Zip Code | 93611-6101 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194701250 | Vinaya Murthy | Genetic Counselor, MS | 2071 Herndon Ave, Clovis, CA 93611-6101 | 2005-12-21 |
| 1881125193 | Tram Nguyen | Pharmacist | 2071 Herndon Ave, Clovis, CA 93611-6101 | 2017-03-27 |
| 1730610643 | Woon Inouye | Pharmacist | 2071 Herndon Ave, Clovis, CA 93611-6101 | 2017-03-22 |
| 1457882409 | Debbie Flint | Pharmacist | 2071 Herndon Ave, Clovis, CA 93611-6101 | 2017-03-22 |
| 1275064339 | Diana Blumberg | Pharmacist | 2071 Herndon Ave, Clovis, CA 93611-6101 | 2017-03-21 |
| 1538617170 | Rachel Graziani | Genetic Counselor, MS | 2071 Herndon Ave, Clovis, CA 93611-6101 | 2016-09-12 |
| 1134421704 | Kelly Ayala | Obstetrics & Gynecology | 2071 Herndon Ave, Clovis, CA 93611-6101 | 2010-12-02 |
| 1407035108 | Jennifer Irene Bague | Social Worker | 2071 Herndon Ave, Clovis, CA 93611-6101 | 2007-10-30 |
| 1194920413 | James Dale Massa Jr. | Genetic Counselor, MS | 2071 Herndon Ave, Attn Genetics Dpt, Clovis, CA 93611-6101 | 2007-06-18 |
| 1710014378 | Judith Lynn Meadows | Dietitian, Registered | 2071 Herndon Ave, Clovis, CA 93611 | 2007-02-28 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033773122 | Mao Thao | Pharmacist | 2133 Shaw Avenue, Clovis, CA 93611 | 2019-04-24 |
| 1326506098 | Lauren Moriah Horsley | Speech-Language Pathologist | 650 W. Alluvial Ave., Clovis, CA 93611 | 2019-03-12 |
| 1780171223 | Alamos Care | Skilled Nursing Facility | 2193 Alamos Ave, Clovis, CA 93611 | 2018-04-19 |
| 1346612215 | Aimee Rasch | Occupational Therapy Assistant | 650 West Alluvial Avenue, Clovis, CA 93611 | 2015-10-30 |
| 1356778302 | Jonathan Crosby | Physician Assistant | 729 N Medical Center Drive West Suite 101, Clovis, CA 93611 | 2013-10-07 |
| 1093142697 | Stacey Melissa Montes | Nurse Practitioner | 729 N Medical Ctr Dr West, Suite 205, Clovis, CA 93611 | 2013-09-27 |
| 1538594163 | Carly Bren Lepp | Physician Assistant | 2006 Shaw Avenue, Clovis, CA 93611 | 2013-09-13 |
| 1811246150 | Vishal Arya | Pharmacist | 2518 Austin Ave, Clovis, CA 93611 | 2012-08-31 |
| 1669757209 | Kiran V Atwal | Pharmacist | 1815 Herndon Ave--walgreens, Clovis, CA 93611 | 2011-10-14 |
| 1952615957 | Weight Away | Nutritionist | 1895 Herndon Ave, Suite 105, Clovis, CA 93611 | 2010-08-02 |
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| 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 |
|---|---|---|---|---|
| 1255706289 | Sierra Functional Medical PC | Physical Medicine & Rehabilitation | 2181 Herndon Ave Ste 103, Clovis, CA 93611-6309 | 2015-12-02 |
| 1770553091 | Thomas J. O'laughlin, Md, Inc. | Physical Medicine & Rehabilitation | 255 W Bullard Ave Ste 112, Clovis, CA 93612-0861 | 2006-01-26 |
| 1295971638 | Steven Joseph Thuringer | Physical Medicine & Rehabilitation | 255 W Bullard Ave, Suite 114, Clovis, CA 93612-0861 | 2009-01-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477154730 | Drew Matthew Lemay | Physical Medicine & Rehabilitation | 2501 S El Camino Real, San Clemente, CA 92672-3350 | 2020-11-03 |
| 1821698325 | Karen Pena | Physical Medicine & Rehabilitation | 930 S Mount Vernon Ave, Grand Terrace, CA 92324-3928 | 2020-10-26 |
| 1104423052 | Prehab LLC | Physical Medicine & Rehabilitation | 10405 Sd Mssn Rd Ste 103105, San Diego, CA 92108-2102 | 2020-10-05 |
| 1699381517 | Paige Lauren Stephens | Physical Medicine & Rehabilitation | 6961 Los Amigos Cir, Huntington Beach, CA 92647-6659 | 2020-09-16 |
| 1740895788 | Rebecca Niamtu | Physical Medicine & Rehabilitation | 364 S Cloverdale Ave, Los Angeles, CA 90036-3478 | 2020-09-15 |
| 1245845296 | Brianna Brooskin | Physical Medicine & Rehabilitation | 2850 Adrian St Apt 102, San Diego, CA 92110-5700 | 2020-09-15 |
| 1366057622 | Jaime Lyn Kelley | Physical Medicine & Rehabilitation | 10213 Tillicum Way, Nevada City, CA 95959-2019 | 2020-09-14 |
| 1346853868 | Edwin Castillo | Physical Medicine & Rehabilitation | 767 Freeman Ave Apt 3, Long Beach, CA 90804-4988 | 2020-08-25 |
| 1225640675 | Hema Kamal | Physical Medicine & Rehabilitation | 1049 El Monte Ave, Mountain View, CA 94040-2398 | 2020-08-18 |
| 1760094338 | Bayhealth Connect LLC | Physical Medicine & Rehabilitation | 30 Union Ave Ste 210, Campbell, CA 95008-3162 | 2020-08-17 |
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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.