DR. KYLE J MENZE (NPI# 1346528742) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1346528742 |
| Entity Type | Individual |
| Full Name | DR. KYLE J MENZE |
| Credential | D.O. |
| Practice Address |
3701 Broadway Fl 1 Oakland CA 94611-5613 |
| Practice Telephone | 5108211118 |
| Mailing Telephone | 5108211118 |
| Enumeration Date | 2011-08-02 |
| Last Update Date | 2017-11-07 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2081P0010X |
Physical Medicine & Rehabilitation Specialization: Pediatric Rehabilitation Medicine |
2OA15285 | CA | Allopathic & Osteopathic Physicians |
| Street Address |
3701 BROADWAY FL 1 |
| City | OAKLAND |
| State | CA |
| Zip Code | 94611-5613 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770723645 | Kaiser Foundation Health Plan Inc | Pharmacy | 3701 Broadway Fl 1, Oakland, CA 94611-5613 | 2009-03-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063028454 | Abduljabbar Alhammoud | Student in an Organized Health Care Education/Training Program | Kaiser Permanente Oakland Medical Center 275 W. Macarth, Oakland, CA 94611 | 2020-09-21 |
| 1184287435 | Unfold Psychology: A. Heafey Practice | Psychologist | 1955 Mountain Blvd., Suite 101, Oakland, CA 94611 | 2019-04-22 |
| 1700389699 | Katie Herron | Student in an Organized Health Care Education/Training Program | 2535 Harrison St., Oakland, CA 94611 | 2018-03-16 |
| 1861923351 | Hoiwan Cheung | Student in an Organized Health Care Education/Training Program | 3600 Broadway, 4th Fl., Suite 43, Kaiser Oakland, Oakland, CA 94611 | 2017-03-25 |
| 1104377126 | Collin Chan | Pharmacist | 3801 Howe Street, Fabiola G-25, Oakland, CA 94611 | 2016-10-14 |
| 1912457276 | Madeline Marie Perket | Registered Nurse | 933 Kingston Ave, Piedmont, CA 94611 | 2016-10-11 |
| 1962959460 | Healing Arts Chiropractic | Chiropractor | 187 40th Street Way, Oakland, CA 94611 | 2016-09-01 |
| 1033573829 | Diana Murphy | Counselor | 629 Oakland, Oakland, CA 94611 | 2016-04-08 |
| 1437515483 | Laura Northrup II | Marriage & Family Therapist | 3873 Piedmont Ave, Suite 5, Oakland, CA 94611 | 2016-01-06 |
| 1558736835 | Michael Joseph Scollard | Dentist | 42 Linda Ave., Oakland, CA 94611 | 2015-12-11 |
| Find all providers in zip 94611 | ||||
| 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 |
|---|---|---|---|---|
| 1922272525 | Elaine L Pico, M.d. | Physical Medicine & Rehabilitation | 2825 International Blvd, Room Rc121, Oakland, CA 94601-1543 | 2008-04-15 |
| 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 |
| 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 |
| 1326405895 | Valley Children's Medical Group - Physiatry | Physical Medicine & Rehabilitation | 9300 Valley Childrens Pl, Madera, CA 93636-8761 | 2016-01-28 |
| 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.