DALE JACKNOW (NPI# 1194959569) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1194959569 |
| Entity Type | Individual |
| Full Name | DALE JACKNOW |
| Practice Address |
101 S San Mateo Dr Suite 208 San Mateo CA 94401-3819 |
| Practice Telephone | 6503423137 |
| Enumeration Date | 2009-05-13 |
| Last Update Date | 2009-05-13 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2080P0006X |
Pediatrics Specialization: Developmental – Behavioral Pediatrics |
657898 | CA | Allopathic & Osteopathic Physicians |
| Street Address |
101 S SAN MATEO DR SUITE 208 |
| City | SAN MATEO |
| State | CA |
| Zip Code | 94401-3819 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528060308 | Jacqueline Koo | Ophthalmology | 101 S San Mateo Dr, Suite 310, San Mateo, CA 94401-3819 | 2005-08-11 |
| 1205472115 | Catrina Patricia Blake | Nurse Practitioner | 101 S San Mateo Dr, San Mateo, CA 94401-3819 | 2019-11-26 |
| 1710425921 | Comprehensive Foot and Ankle Care Inc | Podiatrist | 101 S San Mateo Dr, Suite 212, San Mateo, CA 94401-3819 | 2017-02-08 |
| 1689031346 | Jennifer Tran | Nurse Practitioner | 101 S San Mateo Dr, #102, San Mateo, CA 94401-3819 | 2016-01-26 |
| 1104201334 | San Mateo Rheumatology Inc. | Internal Medicine | 101 S San Mateo Dr, Suite 307, San Mateo, CA 94401-3819 | 2015-07-29 |
| 1265845077 | Aaron Kwan | Optometrist | 101 S San Mateo Dr, Suite 310, San Mateo, CA 94401-3819 | 2014-06-09 |
| 1699111617 | Emere Medical Professional Corporation | Physical Medicine & Rehabilitation | 101 S San Mateo Dr, Suite 202, San Mateo, CA 94401-3819 | 2013-05-16 |
| 1548599145 | Peninsula Spine & Sports Rehab, A Rommel Hindocha Chiropractic Corp. | Chiropractor | 101 S San Mateo Dr, Suite 200, San Mateo, CA 94401-3819 | 2009-12-10 |
| 1578704045 | San Mateo Physical Therapy Center | Clinic/Center | 101 S San Mateo Dr, 200, San Mateo, CA 94401-3819 | 2009-03-13 |
| 1669613139 | Campus Physical Therapy Inc | Clinic/Center | 101 S San Mateo Dr, 200, San Mateo, CA 94401-3819 | 2009-03-13 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841800760 | Monica Marie Rivas | Behavior Technician | 429 Peninsula Avenue, San Mateo, CA 94401 | 2020-08-05 |
| 1609412865 | Cindy Toshiko Hedlin | Marriage & Family Therapist | 1117 S. B Street, Suite 9, San Mateo, CA 94401 | 2019-11-22 |
| 1750846655 | James Court Manor Inc. | Assisted Living Facility | 1316 James Court, San Mateo, CA 94401 | 2019-02-05 |
| 1467991778 | Maria Elena Lopez | Student in an Organized Health Care Education/Training Program | 325 Villa Terrace, San Mateo, CA 94401 | 2017-02-20 |
| 1487198339 | Johnie Pangelina | Behavioral Analyst | 242 Peninsula Ave, San Mateo, CA 94401 | 2016-12-12 |
| 1740736230 | Meredith Eileen Morgan | Dentist | 100 S. Ellsworth Av, #601, San Mateo, CA 94401 | 2016-08-25 |
| 1376998963 | Lior Tamir | Dentist | 800 B Street Suite #200, San Mateo, CA 94401 | 2016-05-02 |
| 1609233584 | Delicia Ortega | Behavioral Analyst | 424 Peninsula Avenue, San Mateo, CA 94401 | 2016-01-22 |
| 1396122388 | Ramy Salah | Internal Medicine | 50 S San Mateo Dr Ste 480, San Mateo, CA 94401 | 2015-04-29 |
| 1508255902 | Risso Counseling, Inc. | Marriage & Family Therapist | 120 North El Camino Real, San Mateo, CA 94401 | 2015-01-22 |
| Find all providers in zip 94401 | ||||
| Taxonomy Code | 2080P0006X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| Specialization | Developmental – Behavioral Pediatrics |
| A developmental-behavioral specialist is a pediatrician with special training and experience who aims to foster understanding and promotion of optimal development of children and families through research, education, clinical care and advocacy efforts. This physician assists in the prevention, diagnosis, and management of developmental difficulties and problematic behaviors in children and in the family dysfunctions that compromise children's development. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition changed, source changed, 3/26/2008: definition corrected] Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720601222 | Development Support Services | Pediatrics | 43218 Business Park Dr Ste 203, Temecula, CA 92590-3601 | 2020-05-19 |
| 1922659804 | Trenna Sutcliffe Md, Apc | Pediatrics | 851 Fremont Ave Ste 110, Los Altos, CA 94024-5602 | 2019-09-23 |
| 1295117299 | Inland Faculty Specialists, A California Professional Corporation | Pediatrics | 4153 Rubidoux Ave, Riverside, CA 92506-1717 | 2015-06-25 |
| 1891181129 | Albert C. Fremont | Pediatrics | 1405 University Ave, Palo Alto, CA 94301-2245 | 2015-04-14 |
| 1184047722 | Hooi Hoon Yeap | Pediatrics | 820 Elgin St, San Lorenzo, CA 94580-1264 | 2014-02-03 |
| 1558608331 | Melissa Harada | Pediatrics | 3782 W Martin Luther King Jr Blvd, Los Angeles, CA 90008-1703 | 2013-01-14 |
| 1417227554 | New Age Enterprises | Pediatrics | 7320 Firestone Blvd Ste 105, Downey, CA 90241-4159 | 2012-01-06 |
| 1225342215 | Robert E Nopar | Pediatrics | 1900 E Los Angeles Ave, Simi Valley, CA 93065-6560 | 2010-08-02 |
| 1134383243 | Marianna Eraklis | Pediatrics | One Camino Sobrante, Suite 208, Orinda, CA 94563 | 2008-07-17 |
| 1982806170 | Jennifer Kit-lam Leung | Pediatrics | 2967 Michelson Dr Ste G, Pmb131, Irvine, CA 92612-8801 | 2007-06-01 |
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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.