PERFORMANCE SPORTS CLINIC (NPI# 1144549429) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1144549429 |
| Entity Type | Organization |
| Organization Name | PERFORMANCE SPORTS CLINIC |
| Practice Address |
16615 Lark Ave Suite 203 Los Gatos CA 95032-7645 |
| Practice Telephone | 4084023427 |
| Mailing Telephone | 4084023427 |
| Enumeration Date | 2010-05-25 |
| Last Update Date | 2013-03-01 |
| Authorized Official Name | DR. SAUNDRA COBOS NAMIMATSU (MANAGER) |
| Authorized Official Telephone | 4084023427 |
| Authorized Official Credential | D.C. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 111NS0005X |
Chiropractor Specialization: Sports Physician |
32460 | CA | Chiropractic Providers |
| Street Address |
16615 LARK AVE SUITE 203 |
| City | LOS GATOS |
| State | CA |
| Zip Code | 95032-7645 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518942697 | Kevin Mcclenahan | Physical Therapist | 16615 Lark Ave, Ste 101, Los Gatos, CA 95032-7645 | 2005-12-12 |
| 1306409628 | Klaudia Paradi | Specialist/Technologist | 16615 Lark Ave, Los Gatos, CA 95032-7645 | 2019-04-22 |
| 1942747217 | Brittany Zbin | Physical Therapist | 16615 Lark Ave, Unit 101, Los Gatos, CA 95032 | 2017-01-25 |
| 1720474547 | An Tinh Truong | Physical Therapist | 16615 Lark Ave, Los Gatos, CA 95032-7645 | 2015-04-08 |
| 1205254612 | Chase Perez | Physical Therapist | 16615 Lark Ave, Los Gatos, CA 95032-7645 | 2014-04-02 |
| 1194160911 | John Charles Barr | Physical Therapist | 16615 Lark Ave, Suite101, Los Gatos, CA 95032-7645 | 2013-05-07 |
| 1487913778 | Vision Quest Spine and Sports Clinic | Chiropractor | 16615 Lark Ave, Suite 203, Los Gatos, CA 95032-7645 | 2012-05-08 |
| 1174852057 | Lianna M. Roberts | Physical Therapist | 16615 Lark Ave, Suite #101, Los Gatos, CA 95032-7645 | 2009-12-23 |
| 1699809053 | Saundra Cobos Namimatsu | Chiropractor | 16615 Lark Ave, Suite 203, Los Gatos, CA 95032-7645 | 2007-03-15 |
| 1720175748 | Douglas Drucker | Psychologist | 16615 Lark Ave, Ste 203, Los Gatos, CA 95032-7645 | 2006-10-10 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346730157 | Stephanie Chui | Optometrist | 15055 Los Gatos Blvd Ste 300, Los Gatos, CA 95032 | 2018-05-16 |
| 1710474960 | Lisa Richardson | Dietitian, Registered | 15405 Los Gatos Blvd #101, Los Gatos, CA 95032 | 2018-04-13 |
| 1235652934 | Nillofar Tabibi | Pharmacist | 1496 Pollard Road, Los Gatos, CA 95032 | 2017-07-25 |
| 1609397694 | Taylor Dolores Peterson | Marriage & Family Therapist | 15495 Los Gatos Blvd Ste 5, Los Gatos, CA 95032 | 2017-06-29 |
| 1942755418 | Michelle Sunalp | Physician Assistant | 14830 Los Gatos Blvd, Suite 300, Los Gatos, CA 95032 | 2016-08-24 |
| 1295196640 | Mandice Williams | Chiropractor | 236 Oak Meadow Dr, Los Gatos, CA 95032 | 2016-03-14 |
| 1922465020 | Los Gatos Dental Specialists | Dentist | 15075 Los Gatos Blvd, Ste 120, Los Gatos, CA 95032 | 2016-01-20 |
| 1962881813 | Los Gatos Snf, LLC | Skilled Nursing Facility | 16605 Lark Ave., Los Gatos, CA 95032 | 2015-05-26 |
| 1720404312 | Jonathan Davies | Physician Assistant | 15466 Los Gatos Blvd Ste 109-353, Los Gatos, CA 95032 | 2014-03-06 |
| 1588002612 | Jessica Velasco Gutierrez | Licensed Vocational Nurse | 634 W Parr Ave #116, Los Gatos, CA 95032 | 2013-06-11 |
| Find all providers in zip 95032 | ||||
| Taxonomy Code | 111NS0005X |
| Grouping | Chiropractic Providers |
| Classification | Chiropractor |
| Specialization | Sports Physician |
| A sports chiropractor is uniquely trained to provide care and treatment of injuries or illness resulting from sports and physical fitness activities. Doctors of Chiropractic with the Diplomate American Chiropractic Board of Sports Physicians (DACBSP) or the Certified Chiropractic Sports Physician (CCSP), sport specialty certifications from the American Chiropractic Board of Sports Physicians, have advanced training in the assessment, management and rehabilitation of sports related injuries. Extremity care, rehabilitation and soft tissue procedures are common skills utilized by these doctors. The specialty training covers a broad spectrum from the pediatric athlete to professional and Olympic athletes, and everything in between, using a variety of techniques and modalities. |
| Notes: Source: American Chiropractic Board of Sports Physicians, 2009 [7/1/2009: definition added] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861907198 | Positive Motion Chiropractic | Chiropractor | 15951 Los Gatos Blvd Ste 3, Los Gatos, CA 95032-3428 | 2017-12-08 |
| 1467605220 | Steven Capobianco | Chiropractor | 51 University Ave, Suite I, Los Gatos, CA 95030-6037 | 2008-10-24 |
| 1619169687 | Tore Gustafsson | Chiropractor | 15545 Los Gatos Blvd Ste B, Los Gatos, CA 95032-2567 | 2007-08-14 |
| 1427419704 | Ryne Fiebig | Chiropractor | 15729 Los Gatos Blvd, #100, Los Gatos, CA 95032-2555 | 2016-03-14 |
| 1073944096 | Cody Fowler | Chiropractor | 51 University Ave, Suite K, Los Gatos, CA 95030-6037 | 2013-12-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831707199 | Pacific Integrative Medical Group Inc | Chiropractor | 2232 Santa Monica Blvd # 101, Santa Monica, CA 90404-2312 | 2020-07-22 |
| 1497394779 | Beavers Better Health Chiropractic, Inc. | Chiropractor | 5707 Marconi Ave Ste D, Carmichael, CA 95608-4471 | 2020-01-03 |
| 1932758679 | Johnnie C Morgan Iv | Chiropractor | 30423 Canwood St Ste 128, Agoura Hills, CA 91301-4314 | 2019-09-05 |
| 1386291920 | Ar'neka Montford | Chiropractor | 7109 Cardenas Way, Sacramento, CA 95828-3935 | 2019-08-19 |
| 1811459738 | Garrett Neill | Chiropractor | 4299 Macarthur Blvd Ste 102, Newport Beach, CA 92660-2019 | 2019-04-01 |
| 1952869661 | Pelofsky Sports Chiropractic | Chiropractor | 700 Wilshire Blvd Ste 510, Los Angeles, CA 90017-3863 | 2019-03-12 |
| 1790252963 | Andrew Winthrop | Chiropractor | 400 Continental Blvd Ste 6070, El Segundo, CA 90245-5076 | 2018-10-25 |
| 1497233522 | Pure Sports Medical Corporation | Chiropractor | 4300 Tradewinds Dr Ste 300, Oxnard, CA 93035-1458 | 2018-07-31 |
| 1548751951 | Jeffrey Christopher Abreu | Chiropractor | 1451 66th St, Emeryville, CA 94608-1004 | 2018-05-21 |
| 1093206641 | Ulberg Healing Choices & Chiropractic, Inc | Chiropractor | 901 Greenwich Dr, Thousand Oaks, CA 91360-6022 | 2018-05-18 |
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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.