SAN DIEGO REHAB AND FITNESS (NPI# 1184157208) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1184157208 |
| Entity Type | Organization |
| Organization Name | SAN DIEGO REHAB AND FITNESS |
| Practice Address |
4184 Madison Ave San Diego CA 92116-4709 |
| Practice Telephone | 6197360506 |
| Mailing Telephone | 6197360506 |
| Enumeration Date | 2017-04-05 |
| Last Update Date | 2017-04-05 |
| Authorized Official Name | SHAWNA NORTON (FOUNDER/CEO) |
| Authorized Official Telephone | 6193796680 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 373H00000X | Day Training/Habilitation Specialist | Nursing Service Related Providers | ||
| N | 136A00000X | Dietetic Technician, Registered | Dietary & Nutritional Service Providers | ||
| N | 174H00000X | Health Educator | Other Service Providers | ||
| Y | 224Y00000X | Clinical Exercise Physiologist | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
4184 MADISON AVE |
| City | SAN DIEGO |
| State | CA |
| Zip Code | 92116-4709 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255859450 | Michael S Cohen | Acupuncturist | 1533 Monroe Ave, San Diego, CA 92116 | 2017-09-07 |
| 1013456052 | Scarlett O'hara | Speech-Language Pathologist | 4204a Adams Avenue, San Diego, CA 92116 | 2017-02-22 |
| 1780123174 | Elaine Oxina | Occupational Therapist | 4204 Adams Avenue A, Specialized Therapy Services, San Diego, CA 92116 | 2017-02-17 |
| 1699157321 | Candice Dumais | Occupational Therapist | 4522 1/2 Georgia St, San Diego, CA 92116 | 2015-06-18 |
| 1558643908 | Markus Steven Hill | Student in an Organized Health Care Education/Training Program | 4489 41st St, San Diego, CA 92116 | 2011-09-12 |
| 1457689309 | Nirit Shoshana Blocker | Physical Therapist | 4663 Iowa St Unit 5, San Diego, CA 92116 | 2009-12-03 |
| 1780830257 | Latrice Charlene Washington | Counselor | 3430 School St, San Diego, CA 92116 | 2008-08-15 |
| 1497901086 | Kathryn Eris Zangaro | Counselor | 3430 School St., San Diego, CA 92116 | 2008-08-14 |
| 1508012535 | Cyrus Satoafaiga | Counselor | 3430 School Street, San Diego, CA 92116 | 2008-08-11 |
| 1164692471 | Kimberly Hoover L.ac. | Acupuncturist | 2852 Adams Avenue, San Diego, CA 92116 | 2008-03-04 |
| Find all providers in zip 92116 | ||||
| Taxonomy Code | 224Y00000X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Clinical Exercise Physiologist |
| A Clinical Exercise Physiologist is a health care professional who is trained to work with patients with chronic disease where exercise training has been shown to be of therapeutic benefit, including but not limited to cardiovascular and pulmonary disease, and metabolic disorders. |
| Notes: Source: What is a Clinical Exercise Physiologist? Clinical Exercise Physiology Association (CEPA), CEPA Executive Board, 2008 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174844146 | Robyn Marie Stuhr | Clinical Exercise Physiologist | 350 Dickinson St, Suite # 121, San Diego, CA 92103-1913 | 2010-06-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467072801 | Anthony Ricci | Clinical Exercise Physiologist | 1710 S Amphlett Blvd Ste 101, San Mateo, CA 94402-2704 | 2020-04-24 |
| 1871092080 | Charles Castillo | Clinical Exercise Physiologist | 313 Falcon Dr, Vallejo, CA 94589-3708 | 2018-02-03 |
| 1770092223 | Clarence Matthew Lee | Clinical Exercise Physiologist | 717 Wiget Ln, Walnut Creek, CA 94598-4304 | 2017-09-28 |
| 1164942074 | Christopher Lang Sr. | Clinical Exercise Physiologist | 21200 Kittridge Street, Suite 3238, Woodland Hills, CA 91303 | 2017-06-21 |
| 1497014864 | Myron Lynne Cole | Clinical Exercise Physiologist | 42112 Ringstem Ave, #62c, Lancaster, CA 93536-1209 | 2012-05-04 |
| 1427324813 | Jennifer Helen Laity | Clinical Exercise Physiologist | 14830 Los Gatos Blvd., Suite 101, Los Gatos, CA 95032 | 2012-03-29 |
| 1598032336 | Julia Ellen Stedifor | Clinical Exercise Physiologist | 4429 Northampton Dr, Carmichael, CA 95608-1556 | 2011-11-22 |
| 1841577426 | Mark Wiley Baldis | Clinical Exercise Physiologist | 5275 N Campus Dr, Fresno, CA 93740-0001 | 2011-11-09 |
| 1114202751 | Regula Maria Dhedhi | Clinical Exercise Physiologist | 902 Holiday Ct, Concord, CA 94518-3423 | 2011-10-14 |
| 1033391347 | Richard Zhen Peng | Clinical Exercise Physiologist | 15060 Victory Blvd, Unit 103, Van Nuys, CA 91411-1835 | 2007-11-28 |
| Find all providers with the same taxonomy | ||||
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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.