JERROD D PAULO (NPI# 1366413064) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1366413064 |
| Entity Type | Individual |
| Full Name | JERROD D PAULO |
| Credential | OTR/L, CHT |
| Practice Address |
13690 E 14th St Suite 200 San Leandro CA 94578-2582 |
| Practice Telephone | 5108955511 |
| Practice Fax Number | 5108955513 |
| Mailing Telephone | 5108955511 |
| Mailing Fax Number | 5108955513 |
| Enumeration Date | 2006-01-30 |
| Last Update Date | 2008-05-07 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225XH1200X |
Occupational Therapist Specialization: Hand |
OT 2258 | CA | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | BLUESHIELD PROVIDER # | ZZZ04670Z | 01 |
| CA | PROVIDER TRANSACTION ACCESS NUMBER | ZZZ31058Z | 01 |
| Street Address |
13690 E 14TH ST SUITE 200 |
| City | SAN LEANDRO |
| State | CA |
| Zip Code | 94578-2582 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477940187 | City Health, A Medical Corporation | Clinic/Center | 13690 E 14th St, Ste. 100, San Leandro, CA 94578-2582 | 2015-04-20 |
| 1154732303 | Jenny Yu, Dpm, Inc. | Podiatrist | 13690 E 14th St, Suite 220, San Leandro, CA 94578-2582 | 2014-05-09 |
| 1861827537 | Jenny Yu | Podiatrist | 13690 E 14th St, Suite 220, San Leandro, CA 94578-2582 | 2013-09-12 |
| 1881031433 | Janice K Cheung | Nurse Practitioner | 13690 E 14th St, #230, San Leandro, CA 94578-2582 | 2013-05-22 |
| 1164650487 | Orrin I Franko | Orthopaedic Surgery | 13690 E 14th St, Suite 200, San Leandro, CA 94578-2582 | 2009-06-25 |
| 1801039508 | Hj Surgery Center Incorporated | Clinic/Center | 13690 E 14th St, Ste 200, San Leandro, CA 94578-2582 | 2009-04-09 |
| 1093986887 | Steven I. Subotnick, Dpm,ms A Professional Corporation | Podiatrist | 13690 E 14th St, Suite 220, San Leandro, CA 94578-2582 | 2008-03-19 |
| 1962556076 | Ak Surgery Center, LLC | Clinic/Center | 13690 E 14th St, San Leandro, CA 94578-2582 | 2007-01-23 |
| 1134136641 | Jennifer Lynne Schofield | Physician Assistant | 13690 E 14th St, Suite 200, San Leandro, CA 94578-2582 | 2006-08-01 |
| 1639183494 | Steven I. Subotnick | Podiatrist | 13690 E 14th St, Suite 220, San Leandro, CA 94578-2582 | 2006-07-28 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952886327 | Keyla Itzel Monroy Rodriguez | Behavioral Analyst | 900 143rd Ave, Apt 269, San Leandro, CA 94578 | 2018-10-01 |
| 1962938340 | Shaylah Rigmaiden | Counselor | 3847 E14th St, #215, San Leandro, CA 94578 | 2017-05-04 |
| 1861864449 | Laurence Tang | Pharmacist | 13847 E. 14th Street, San Leandro, CA 94578 | 2015-10-22 |
| 1902227481 | Marissa Phan | Pharmacist | 15555 E. 14th Street #400, San Leandro, CA 94578 | 2013-12-30 |
| 1629403993 | Carly Renee Lucas | Counselor | 2257 Arlington Dr., San Leandro, CA 94578 | 2013-09-05 |
| 1871933317 | Javier Huerta | Counselor | 16335 E. 14th St, San Leandro, CA 94578 | 2013-06-28 |
| 1710231717 | Farida M Ismail | Non-emergency Medical Transport (VAN) | 1601 165th Ave, 107, San Leandro, CA 94578 | 2012-10-30 |
| 1487901989 | Amanda Dupuis | Counselor | 15942 Footlhill Blvd, San Leandro, CA 94578 | 2012-08-14 |
| 1629323506 | Mei Xiu Chua | Counselor | 13666 East 14th Street, San Leandro, CA 94578 | 2012-07-17 |
| 1730445644 | Nisreen Mesiwala Kothari | Ophthalmology | 15051 Hesperian Blvd Ste A, San Leandro, CA 94578 | 2012-04-04 |
| Find all providers in zip 94578 | ||||
| Taxonomy Code | 225XH1200X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Occupational Therapist |
| Specialization | Hand |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184962490 | Lotus Lustig Halbower | Occupational Therapist | 2500 Merced St, San Leandro, CA 94577-4201 | 2013-01-21 |
| 1437120938 | Mike Marsh | Occupational Therapist | 13690 E 14th St, Suite# 200, San Leandro, CA 94578-2582 | 2006-02-01 |
| 1821069535 | Andrew James Stein M D | Occupational Therapist | 13690 E 14th St, Suite # 200, San Leandro, CA 94578-2582 | 2006-01-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518568559 | Mary Jean Allan | Occupational Therapist | 1070 Crestline Cir, El Dorado Hills, CA 95762-7223 | 2020-11-05 |
| 1154957280 | Jennifer Marie Macintire | Occupational Therapist | 7000 East Ave # B663l723, Livermore, CA 94550-9698 | 2020-03-20 |
| 1699324988 | Gabriela Garcia | Occupational Therapist | 15311 Gundry Ave Unit 11, Paramount, CA 90723-3987 | 2019-09-09 |
| 1720648298 | Josephine Mickelsen | Occupational Therapist | 22961 Soledad Canyon Rd, Santa Clarita, CA 91350-2633 | 2019-06-17 |
| 1376109108 | Bryan Kang | Occupational Therapist | 2411 Vanderbilt Ln # B, Redondo Beach, CA 90278-3213 | 2019-05-16 |
| 1104383074 | Hand Rehab Pros Antelope Valley | Occupational Therapist | 1037 E Palmdale Blvd Ste 201, Palmdale, CA 93550-4745 | 2019-02-26 |
| 1154886513 | Christine Clermont | Occupational Therapist | 1025 Service Pl, Vista, CA 92084-7200 | 2019-02-09 |
| 1831662287 | Arshia Mohamadi | Occupational Therapist | 2211 W Magnolia Blvd Ste 295, Burbank, CA 91506-1753 | 2019-01-09 |
| 1609354752 | Leigha Holtzhouser | Occupational Therapist | 15525 Pomerado Rd Ste C8, Poway, CA 92064-2426 | 2018-07-31 |
| 1669978292 | Brian David Van Der Wyk | Occupational Therapist | 9819 Nadine St, Temple City, CA 91780-2621 | 2018-04-03 |
| Find all providers with the same taxonomy | ||||
| City | SAN LEANDRO |
| Zip Code | 94578 |
Please comment or provide details below to improve the information on JERROD D PAULO.
| 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.