JAMIE BOER (NPI# 1316134679) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1316134679 |
| Entity Type | Individual |
| Full Name | JAMIE BOER |
| Practice Address |
130 La Casa Via Ste 103 Walnut Creek CA 94598-3045 |
| Practice Telephone | 9252745980 |
| Mailing Telephone | 9252745980 |
| Enumeration Date | 2007-10-01 |
| Last Update Date | 2007-10-01 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225000000X | Orthotic Fitter | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
130 LA CASA VIA STE 103 |
| City | WALNUT CREEK |
| State | CA |
| Zip Code | 94598-3045 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144417312 | Salvatore J Felardo | Prosthetist | 130 La Casa Via Ste 103, Walnut Creek, CA 94598-3045 | 2007-10-01 |
| 1124215306 | Daniel Roll | Orthotic Fitter | 130 La Casa Via Ste 103, Walnut Creek, CA 94598-3045 | 2007-10-01 |
| 1699962860 | Bradley Farrow | Orthotist | 130 La Casa Via Ste 103, Walnut Creek, CA 94598-3045 | 2007-10-01 |
| 1861689036 | Sharon J Hunsinger | Orthotic Fitter | 130 La Casa Via Ste 103, Walnut Creek, CA 94598-3045 | 2007-10-01 |
| 1861689127 | Annamaria E Brown | Orthotic Fitter | 130 La Casa Via Ste 103, Walnut Creek, CA 94598-3045 | 2007-10-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639716608 | Tasnim Diaf Moulton | Counselor | 2730 Shadelands Drive, Walnut Creek, CA 94598 | 2019-12-09 |
| 1790255370 | Harmony Grace Davis | Behavior Technician | 2730 Shadelands Drive Bldg 10, Walnut Creek, CA 94598 | 2018-11-27 |
| 1922583772 | Melissa Anne Mcgovern | Behavioral Analyst | 2370 Shadelands Drive, Bldg 10, Walnut Creek, CA 94598 | 2018-09-27 |
| 1184108367 | Brett Heflin Woodrufff | Behavior Technician | 2730 Shandeland Dr. Building 10, Walnut Creek, CA 94598 | 2018-09-24 |
| 1710411640 | Mandy Wei | Pharmacist | 2880 Shadeland Dr, Suite 201, Walnut Creek, CA 94598 | 2017-04-18 |
| 1437683497 | Hayley Miller | Student in an Organized Health Care Education/Training Program | 2204 Lomond Lane, Walnut Creek, CA 94598 | 2017-04-17 |
| 1043601594 | Marlene Perez Riedel | Nurse Practitioner | 450 North Wiget Lane, Walnut Creek, CA 94598 | 2015-02-05 |
| 1922418904 | Dante Michael Sorrentino | Ophthalmology | Kaiser Permanente Park Shadelands Medical Offices, 320 Lennon Lane, Walnut Creek, CA 94598 | 2014-04-30 |
| 1194156505 | Robert Harrison Hubbell | Obstetrics & Gynecology | 838 Stonehaven Dr, Walnut Creek, CA 94598 | 2013-12-11 |
| 1174954192 | Paul Mead | Orthopaedic Surgery | 2405 Shadelands Dr Ste 300, Walnut Creek, CA 94598 | 2013-12-01 |
| Find all providers in zip 94598 | ||||
| Taxonomy Code | 225000000X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Orthotic Fitter |
| An individual trained in the management of fitting prefabricated orthoses. |
| Notes: Source: National Uniform Claim Committee [1/1/2011: title modified, definition modfied] Additional Resources: American Board for Certification in Orthotics, Prosthetics and Pedorthics, Inc., www.abcop.org and Board of Certification/Accreditation, International, www.bocusa.org. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962699215 | Francisco Gutierrez | Orthotic Fitter | 2075 N Broadway, Walnut Creek, CA 94596-3716 | 2007-10-01 |
| 1831386093 | Jon Dunphy | Orthotic Fitter | 2075 N Broadway, Walnut Creek, CA 94596-3716 | 2007-10-01 |
| 1598952772 | Kevin Kwok | Orthotic Fitter | 2075 N Broadway, Walnut Creek, CA 94596-3716 | 2007-10-01 |
| 1124215306 | Daniel Roll | Orthotic Fitter | 130 La Casa Via Ste 103, Walnut Creek, CA 94598-3045 | 2007-10-01 |
| 1598952764 | Stefan Gran | Orthotic Fitter | 2075 N Broadway, Walnut Creek, CA 94596-3716 | 2007-10-01 |
| 1861689036 | Sharon J Hunsinger | Orthotic Fitter | 130 La Casa Via Ste 103, Walnut Creek, CA 94598-3045 | 2007-10-01 |
| 1740477926 | Georgina Marie Thorson | Orthotic Fitter | 2075 N Broadway, Walnut Creek, CA 94596-3716 | 2007-10-01 |
| 1346437605 | Michael Amezcua | Orthotic Fitter | 2075 N Broadway, Walnut Creek, CA 94596-3716 | 2007-10-01 |
| 1861689127 | Annamaria E Brown | Orthotic Fitter | 130 La Casa Via Ste 103, Walnut Creek, CA 94598-3045 | 2007-10-01 |
| 1023205200 | Ranjeeta K Singh | Orthotic Fitter | 2075 N Broadway, Walnut Creek, CA 94596-3716 | 2007-10-01 |
| Find all providers in WALNUT CREEK | ||||
| City | WALNUT CREEK |
| Zip Code | 94598 |
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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.