VALLEY CHILDREN'S MEDICAL GROUP - PHYSIATRY (NPI# 1326405895) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1326405895 |
| Entity Type | Organization |
| Organization Name | VALLEY CHILDREN'S MEDICAL GROUP - PHYSIATRY |
| Practice Address |
9300 Valley Childrens Pl Madera CA 93636-8761 |
| Practice Telephone | 5593533000 |
| Mailing Telephone | 5593533000 |
| Enumeration Date | 2016-01-28 |
| Last Update Date | 2016-01-28 |
| Authorized Official Name | MR. MICHAEL GOLDRING (CHIEF ADMINISTRATIVE OFFICER) |
| Authorized Official Telephone | 5593535010 |
| Is Organization Subpart | Y |
| Parent Organization Name | VALLEY CHILDREN'S MEDICAL GROUP |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2081P0010X |
Physical Medicine & Rehabilitation Specialization: Pediatric Rehabilitation Medicine |
Allopathic & Osteopathic Physicians |
| Street Address |
9300 VALLEY CHILDRENS PL |
| City | MADERA |
| State | CA |
| Zip Code | 93636-8761 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962405753 | Fred H Laningham | Radiology | 9300 Valley Childrens Pl, Madera, CA 93636-8761 | 2005-05-24 |
| 1043811953 | Ashley Nicole Peton | Pharmacist | 9300 Valley Childrens Pl, Madera, CA 93636-8762 | 2020-11-06 |
| 1063013308 | Samantha Carballo Austin | Social Worker | 9300 Valley Childrens Pl, Madera, CA 93636-8761 | 2020-11-03 |
| 1982205217 | Stefanie Marie Gibbons | Social Worker | 9300 Valley Childrens Pl, Madera, CA 93636-8761 | 2020-11-03 |
| 1114525128 | Kristin Leann Lokey | Social Worker | 9300 Valley Childrens Pl, Madera, CA 93636-8761 | 2020-10-12 |
| 1770190969 | Mallory King | Physician Assistant | 9300 Valley Childrens Pl, Madera, CA 93636-8761 | 2020-09-30 |
| 1356957161 | Sabrina Star Tovar | Audiologist | 9300 Valley Childrens Pl, Madera, CA 93636-8762 | 2020-09-17 |
| 1790391621 | Alyssa Catherine Nakaguchi | Pharmacist | 9300 Valley Childrens Pl, Madera, CA 93636-8762 | 2020-09-16 |
| 1740894773 | Heather Goossen | Pharmacist | 9300 Valley Childrens Pl, Madera, CA 93636-8761 | 2020-09-08 |
| 1184236820 | Renzio Menico Bantayan Apostol | Pharmacist | 9300 Valley Childrens Pl, Madera, CA 93636-8761 | 2020-08-22 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043695257 | Kati Pitts | Social Worker | 9300 Valley Children's Pl., Madera, CA 93636 | 2015-07-29 |
| 1386903177 | Christina Lee-ann Badgett | Registered Nurse | 40617 Rd 406, Madera, CA 93636 | 2012-05-14 |
| 1205134897 | Gina West | Counselor | 10120 Lanes Bridge Dr, Madera, CA 93636 | 2011-03-04 |
| 1326342593 | Re Zaw | Pediatrics | 9300 Valley Children's Place, Residency Dept (ge20), Madera, CA 93636 | 2011-01-03 |
| 1013144179 | Cynthia Romer Fata | Pathology | 9300 Valley Childrens Pl # Sc12, Madera, CA 93636 | 2009-06-16 |
| 1689815888 | Nasser Moiduddin | Pediatrics | 9300 Valley Childrens Pl # PC14, Madera, CA 93636 | 2009-03-18 |
| 1174503338 | James Clifton Horspool | Pediatrics | 9300 Valley Children's Place, Mb01, Madera, CA 93636 | 2006-01-21 |
| 1205818465 | James Weston Hole | Obstetrics & Gynecology | 9300 Valley Children's Pl, Fe16, Madera, CA 93636 | 2005-11-15 |
| 1679056493 | Catherine K. Beaumier | Surgery | 9300 Valley Children's Pl., Madera, CA 93636 | 2018-09-07 |
| 1912492216 | Ji Yeon Kwon | Registered Nurse | 9300 Valley Childrens Pl # Ge07, Madera, CA 93636 | 2018-06-28 |
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| Taxonomy Code | 2081P0010X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Physical Medicine & Rehabilitation |
| Specialization | Pediatric Rehabilitation Medicine |
| A physiatrist who utilizes an interdisciplinary approach and addresses the prevention, diagnosis, treatment and management of congenital and childhood-onset physical impairments including related or secondary medical, physical, functional, psychosocial and vocational limitations or conditions, with an understanding of the life course of disability. This physician is trained in the identification of functional capabilities and selection of the best of rehabilitation intervention strategies, with an understanding of the continuum of care. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition changed, source added] Additional Resources: American Board of Physical Medicine and Rehabilitation, 2007. http://www.abpmr.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Physical Medicine and Rehabilitation. A subspecialty certificate for PRM was approved by the ABMS in 1999. ACGME Accredited Residency Program Requirements: Early discussions underway |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316128796 | Specialty Medical Group Central California - Dept of Physiatry | Physical Medicine & Rehabilitation | 9300 Valley Childrens Pl, Madera, CA 93636-8761 | 2007-11-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366925117 | Christine Marie Draper | Physical Medicine & Rehabilitation | 1900 Garden Rd Ste 200-c, Monterey, CA 93940-5373 | 2018-09-07 |
| 1922272525 | Elaine L Pico, M.d. | Physical Medicine & Rehabilitation | 2825 International Blvd, Room Rc121, Oakland, CA 94601-1543 | 2008-04-15 |
| 1295910941 | University Childrens Medical Group | Physical Medicine & Rehabilitation | 4650 W Sunset Blvd # 5, Los Angeles, CA 90027-6062 | 2007-12-31 |
| 1528080462 | Elaine Louise Pico | Physical Medicine & Rehabilitation | 3031 Telegraph Ave Ste 241, Berkeley, CA 94705-2053 | 2006-07-23 |
| 1205390655 | Rachel Sara Christensen | Physical Medicine & Rehabilitation | 1195 W Fremont Ave, Sunnyvale, CA 94087-3832 | 2019-01-29 |
| 1891265989 | Doreen Spearman | Physical Medicine & Rehabilitation | 34590 County Line Rd Ste 7, Yucaipa, CA 92399-5398 | 2018-11-30 |
| 1316445885 | Amy Quach | Physical Medicine & Rehabilitation | 8933 Activity Rd, San Diego, CA 92126-4427 | 2018-01-30 |
| 1619407459 | Shannon O'brien | Physical Medicine & Rehabilitation | 26081 Merit Cir Ste 107, Laguna Hills, CA 92653-7017 | 2017-06-14 |
| 1851844278 | Karen Charlotta Albiston | Physical Medicine & Rehabilitation | 3355 Mission Ave Ste 123, Oceanside, CA 92058-1327 | 2016-08-02 |
| 1033573126 | Faheem Mahomed | Physical Medicine & Rehabilitation | 4860 Y St Ste 3850, Sacramento, CA 95817-2307 | 2016-04-05 |
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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.