MRS. MARY ANN OCAMPO BALLESTEROS (NPI# 1407970213) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1407970213 |
| Entity Type | Individual |
| Full Name | MRS. MARY ANN OCAMPO BALLESTEROS |
| Credential | PT |
| Practice Address |
5264 Mill Creek Ln Suite 201 San Jose CA 95136-3611 |
| Practice Telephone | 4082026371 |
| Mailing Telephone | 4082026371 |
| Enumeration Date | 2007-03-19 |
| Last Update Date | 2015-10-30 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2251G0304X |
Physical Therapist Specialization: Geriatrics |
CA | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
5264 MILL CREEK LN SUITE 201 |
| City | SAN JOSE |
| State | CA |
| Zip Code | 95136-3611 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245709757 | Rahwa Ferzghi | Behavior Technician | 5300 Terner Way Apt 3102, San Jose, CA 95136 | 2018-11-14 |
| 1285110254 | Brittany Lauren Perez | Behavioral Analyst | 4501 Snell Ave Apt 208, San Jose, CA 95136 | 2018-07-12 |
| 1316466139 | Melinda Fike Vertin | Nurse Practitioner | 970 Glenridge Dr., San Jose, CA 95136 | 2017-09-12 |
| 1841712221 | Cynthia Castillo | Spec/Tech, Cardiovascular | 4742 Canyon River Court, San Josse, CA 95136 | 2017-07-07 |
| 1841609732 | Elizabeth Mary Myers | Specialist/Technologist | 385 Vista Roma Way #302, San Jose, CA 95136 | 2014-08-05 |
| 1649696717 | David W Chan | Dentist | 1095 Branham Ln., Suite #101, San Jose, CA 95136 | 2014-03-12 |
| 1811323686 | Krystle Wright | Speech-Language Pathologist | 368 Maeve Court, San Jose, CA 95136 | 2013-09-24 |
| 1043598196 | Anh-thu Huynh | Optometrist | 4807 Rue Loiret, San Jose, CA 95136 | 2011-07-22 |
| 1740437029 | Center for Autism and Related Disorders LLC | Community/Behavioral Health | 3610 Snell Ave, San Jose, CA 95136 | 2008-08-19 |
| 1366655201 | Zaidoon R. Owais | Dentist | 511 W. Capitol Expwy, San Jose, CA 95136 | 2007-05-08 |
| Find all providers in zip 95136 | ||||
| Taxonomy Code | 2251G0304X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Physical Therapist |
| Specialization | Geriatrics |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417469909 | Tuong-linh Pham Vu | Physical Therapist | 2580 Samaritan Dr, San Jose, CA 95124-4101 | 2017-10-25 |
| 1588052997 | Janice Bartell | Physical Therapist | 75 N 13th St, San Jose, CA 95112-3439 | 2015-01-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629679386 | E-care: Physical Therapy Corporation | Physical Therapist | 2856 Pleasant Ct, Rialto, CA 92376-7250 | 2020-11-07 |
| 1083213961 | Profizix Physical Therapy and Wellness P.C. | Physical Therapist | 390 Hauser Blvd Apt 9l, Los Angeles, CA 90036-5577 | 2020-10-21 |
| 1699383000 | Andrea Yin-ming Harwig | Physical Therapist | 21237 Lassen St Unit 3, Chatsworth, CA 91311-6831 | 2020-07-21 |
| 1104443167 | Nadine Fruchter | Physical Therapist | 35 La Linda Dr, Long Beach, CA 90807-3305 | 2020-06-25 |
| 1205458106 | Kristina Louise Nielsen | Physical Therapist | 4213 State St Ste 202, Santa Barbara, CA 93110-2852 | 2020-05-13 |
| 1821627324 | Pamela Shirtz | Physical Therapist | 50 Alessandro Pl # A20, Pasadena, CA 91105-3149 | 2020-04-06 |
| 1235764697 | Alex Cabrera | Physical Therapist | 58 Flor De Sol, Rancho Santa Margarita, CA 92688-1409 | 2020-03-05 |
| 1720619315 | Dwayne Alvin Trenchuk | Physical Therapist | 2 Roquedo, Rancho Santa Margarita, CA 92688-2721 | 2020-02-01 |
| 1629621727 | Chris Curtis | Physical Therapist | 4442 Acorn Ct, Yorba Linda, CA 92886-2331 | 2019-07-18 |
| 1649834730 | Charles David Barnes | Physical Therapist | 404 Estero Ave, Morro Bay, CA 93442 | 2019-04-24 |
| 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.