OPTIMUM CARE PROVIDER LLC (NPI# 1114211885) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1114211885 |
| Entity Type | Organization |
| Organization Name | OPTIMUM CARE PROVIDER LLC |
| Practice Address |
15260 Anacapa Rd Ste A12 Victorville CA 92392-2565 |
| Practice Telephone | 9095096064 |
| Mailing Telephone | 9095096064 |
| Enumeration Date | 2011-05-31 |
| Last Update Date | 2011-05-31 |
| Authorized Official Name | MR. ELEAZAR TAYAG (CEO) |
| Authorized Official Telephone | 9095096064 |
| 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 | 235Z00000X | Speech-Language Pathologist | Speech, Language and Hearing Service Providers | ||
| Y | 225100000X | Physical Therapist | 33402 | CA | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
15260 ANACAPA RD STE A12 |
| City | VICTORVILLE |
| State | CA |
| Zip Code | 92392-2565 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215568688 | Kristin Parris | Behavior Technician | 15490 Civic Drive, Victorville, CA 92392 | 2020-02-03 |
| 1366001604 | Pine Ridge Treatment Centers, Inc. | Substance Abuse Rehabilitation Facility | 15367 Bonanza Rd, Ste A, Victorville, CA 92392 | 2019-06-11 |
| 1851871289 | Betty A. Murphy, Lmft, Inc | Marriage & Family Therapist | 15437 Anacapa Rd. Ste 26, Victorville, CA 92392 | 2018-08-15 |
| 1104313402 | Jorge L Soler Iglesias | Nurse Practitioner | 12459 Cricket St., Victorville, CA 92392 | 2018-04-23 |
| 1689192049 | Jamesina Johns | Nurse Practitioner | 12127 Mall Blvd #148, Victorville, CA 92392 | 2017-09-06 |
| 1285151886 | Jasmin Sanchez | Behavioral Analyst | 13201 Eclipse Ave, Victorville, CA 92392 | 2017-08-24 |
| 1174049829 | Virginia Marshall | Behavioral Analyst | 13901 Amargosa Rd., Victorville, CA 92392 | 2017-08-15 |
| 1346781465 | San Bernardino Conty | Counselor | 15480 Ramona Ave., Victoville, CA 92392 | 2017-03-09 |
| 1841741279 | Lorinda Morreale | Marriage & Family Therapist | 15428 Civic Dr. Ste 200, Act Family Counseling, Victorville, CA 92392 | 2016-10-20 |
| 1235582404 | Greater Hope Foundation | Community/Behavioral Health | 14344 Cajon Avenue, Suite 101, 103, Victorville, CA 92392 | 2016-07-22 |
| Find all providers in zip 92392 | ||||
| Taxonomy Code | 225100000X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Physical Therapist |
| (1) Physical therapists are health care professionals who evaluate and treat people with health problems resulting from injury or disease. PT’s assess joint motion, muscle strength and endurance, function of heart and lungs, and performance of activities required in daily living, among other responsibilities. Treatment includes therapeutic exercises, cardiovascular endurance training, and training in activities of daily living. (2) A physical therapist is a person qualified by an accredited program in physical therapy, licensed by the state, and practicing within the scope of that license. Physical therapists treat disease, injury, or loss of a bodily part by physical means, such as the application of light, heat, cold, water, electricity, massage and exercise. They develop treatment plans based upon each patient’s strengths, weaknesses, range of motion and ability to function. (3) A health professional who specializes in physical therapy- the health care field concerned primarily with the treatment of disorders with physical agents and methods, such as massage, manipulation, therapeutic exercises, cold, heat (including short-wave, microwave, and ultrasonic diathermy), hydrotherapy, electric stimulation and light to assist in rehabilitating patients and in restoring normal function after an illness or injury. |
| Notes: Source: (1) APTA Guidelines for Physical Therapy Claims Review, American Physical Therapy Association. (3) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, IL: 1994, p. 612 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245787217 | Rawan Kheir | Physical Therapist | 15095 Amargosa Rd Ste 104, Victorville, CA 92394-1875 | 2016-09-07 |
| 1023407871 | Nicholas Kasischke | Physical Therapist | 15095 Amargosa Rd Ste 106, Victorville, CA 92394-1875 | 2015-01-16 |
| 1700058476 | Marivic Abarquez Faustino | Physical Therapist | 17260 Bear Valley Road, Suite 105, Victorville, CA 92395-7778 | 2008-04-02 |
| 1851579460 | Karen K Kiteley | Physical Therapist | 14592 Palmdale Rd, Suite 2, Victorville, CA 92392 | 2008-02-06 |
| 1245355783 | Eleazar S Tayag | Physical Therapist | 10245 Big Chief Dr, Victorville, CA 92392-6869 | 2007-03-21 |
| 1841395340 | Mahnaz N Kazalbasch | Physical Therapist | 14566 Seventh St, Victorville, CA 92395-4214 | 2006-09-13 |
| 1639117864 | Desert Valley Medical Group, Inc. | Physical Therapist | 12421 Hesperia Rd, Victorville, CA 92395-7703 | 2006-06-02 |
| 1003892845 | Joanne Ingram | Physical Therapist | 17270 Bear Valley Rd, Ste E-105, Victorville, CA 92395-7751 | 2005-12-22 |
| 1457332884 | Mojave Valley Physical Therapy | Physical Therapist | 15095 Amargosa Rd, Suite 104, Victorville, CA 92394-1879 | 2005-11-11 |
| 1902443724 | Lex Res Mark Bacunawa Sacay | Physical Therapist | 15095 Amargosa Rd Ste 106, Victorville, CA 92394-1875 | 2019-12-01 |
| Find all providers in VICTORVILLE | ||||
| City | VICTORVILLE |
| Zip Code | 92392 |
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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.