ANDREW FORD (NPI# 1437626314) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1437626314 |
Entity Type | Individual |
Full Name | ANDREW FORD |
Credential | RADT |
Practice Address |
650 S Bascom Ave San Jose CA 95128-2601 |
Mailing Address |
109 Johnson Holw Los Gatos CA 95030-6255 |
Practice Telephone | 4082838555 |
Enumeration Date | 2018-10-29 |
Last Update Date | 2018-10-29 |
Gender Code | M |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 324500000X | Substance Abuse Rehabilitation Facility | CA | Residential Treatment Facilities |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1184262776 | Andrew Tipton Ford | Student in an Organized Health Care Education/Training Program | 234 Kittanning St, Pittsburgh, PA 15215-1230 | 2019-12-15 |
1598785461 | Andrew Marx Ford | Specialist/Technologist | 2305 James River Trce, Langley Afb, VA 23665-2419 | 2006-07-20 |
1437761129 | Andrew Ford | Physical Therapist | 3626 Grant Line Rd Ste 105, New Albany, IN 47150-2399 | 2020-08-23 |
1427678556 | Andrew Maclaren Ford | Internal Medicine | 9500 Euclid Ave, Cleveland, OH 44195-0001 | 2020-04-18 |
1972082758 | Andrew James Ford | Physical Therapist | 1845 E Turner St, Springfield, MO 65803-4619 | 2018-08-13 |
1912349325 | Andrew Ford | Pharmacist | 108 E Highland Dr, Jonesboro, AR 72401-5940 | 2013-07-26 |
1164411963 | Andrew Hunter Ford | Otolaryngology | 1111 Olive St, Montgomery, AL 36106 | 2005-10-14 |
Street Address |
650 S BASCOM AVE |
City | SAN JOSE |
State | CA |
Zip Code | 95128-2601 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1083750186 | Arthur Reyno Floreza | Psychiatry & Neurology | 650 S Bascom Ave, San Jose, CA 95128-2601 | 2007-01-29 |
1063984854 | Felicia Nicole Daily | Counselor | 650 S Bascom Ave, San Jose, CA 95128-2601 | 2018-12-18 |
1225531767 | Sai Priyanka Bandi | Counselor | 650 S Bascom Ave, San Jose, CA 95128-2601 | 2018-03-12 |
1487162962 | Theodore William Fowler | Counselor | 650 S Bascom Ave, San Jose, CA 95128-2601 | 2018-01-18 |
1295243772 | Scot Michael Pearson | Counselor | 650 S Bascom Ave, San Jose, CA 95128-2601 | 2018-01-18 |
1134637754 | Joanne Claire Bordner | Counselor | 650 S Bascom Ave, San Jose, CA 95128-2601 | 2018-01-17 |
1366950982 | Cynthia Angelic Vasquez | Counselor | 650 S Bascom Ave, San Jose, CA 95128-2601 | 2018-01-17 |
1154839009 | Richele Guida | Counselor | 650 S Bascom Ave, San Jose, CA 95128-2601 | 2018-01-12 |
1639688245 | Horizon Services, Inc. | Substance Abuse Rehabilitation Facility | 650 S Bascom Ave, San Jose, CA 95128-2601 | 2017-09-26 |
1740704022 | Anthony Joseph Novello | Counselor | 650 S Bascom Ave, San Jose, CA 95128-2601 | 2017-07-28 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1982227138 | Ruth Larsen | Social Worker | 850 S. Bascom Avenue, Suite 280, San Jose, CA 95128 | 2020-05-22 |
1265067185 | Of Two Minds Psychotherapy | Marriage & Family Therapist | 190 S. Bascom Ave, Ste 130, San Jose, CA 95128 | 2020-03-11 |
1982244166 | Cindy Pantoja Escobar | Behavior Technician | 100 O'connor Drive, Suites 21, San Jose, CA 95128 | 2020-01-15 |
1104460591 | Katherine Alexandra Misogas | Pharmacist | 777 Turner Dr # 330, San Jose, CA 95128 | 2019-10-29 |
1942842216 | Jodie Pierce | Marriage & Family Therapist | 871 Enborg Lane, San Jose, CA 95128 | 2019-10-08 |
1003466434 | Dong Mi Cha | Pharmacist | 777 Turner Dr Ste 330, San Jose, CA 95128 | 2019-09-17 |
1114571759 | Sleep Well Acupuncture, Inc | Acupuncturist | 1361 S Winchester Blvd Suite 206, San Jose, CA 95128 | 2019-08-01 |
1083277677 | Wellocity, Inc | Health Educator | 334 Santana Row, 318, San Jose, CA 95128 | 2019-04-18 |
1518428812 | Alexander Diaz | Radiology | 75 South Bascom Ave, San Jose, CA 95128 | 2019-03-28 |
1720542103 | Nanci R Price Inc | Chiropractor | 100 O'connor Dr., Ste 27, San Jose, CA 95128 | 2019-01-30 |
Find all providers in zip 95128 |
Taxonomy Code | 324500000X |
Grouping | Residential Treatment Facilities |
Classification | Substance Abuse Rehabilitation Facility |
A facility or distinct part of a facility that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the treatment of individuals with disorders in the abuse of drugs, alcohol, and other substances. |
Notes: [7/1/2003: modified title, modified definition] |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1174188239 | Synthesis Recovery LLC | Substance Abuse Rehabilitation Facility | 5498 Blackoak Way, San Jose, CA 95129-3110 | 2019-05-04 |
1407355548 | Telecare Copration | Substance Abuse Rehabilitation Facility | 298 Bernal Rd Ste B, San Jose, CA 95119-1809 | 2018-02-05 |
1073048716 | New Life Recovery Centers, Inc. | Substance Abuse Rehabilitation Facility | 1101 Park Ave, San Jose, CA 95126-2911 | 2017-05-01 |
1437684172 | New Life Recovery Centers, Inc. | Substance Abuse Rehabilitation Facility | 166 Clayton Ave., San Jose, CA 95110-2229 | 2017-05-01 |
1659818441 | Red Road Treatment, Inc | Substance Abuse Rehabilitation Facility | 421 N 13th St, San Jose, CA 95112-1720 | 2017-01-31 |
1376097923 | Serenity Gardens Rehab | Substance Abuse Rehabilitation Facility | 5830 Cohasset Way, San Jose, CA 95123-3710 | 2016-08-12 |
1841656964 | Pathway Society Inc | Substance Abuse Rehabilitation Facility | 2390 Lucretia Ave, 1106, San Jose, CA 95122-4215 | 2016-01-05 |
1760850945 | Wellness Recovery Retreat Center | Substance Abuse Rehabilitation Facility | 10615 Crothers Rd, San Jose, CA 95127-1728 | 2015-09-04 |
1124396627 | Pathway Society Inc. | Substance Abuse Rehabilitation Facility | 861 S 10th St, San Jose, CA 95112-2434 | 2011-12-12 |
1558639161 | Pathway Society Inc | Substance Abuse Rehabilitation Facility | 850 E Empire St, San Jose, CA 95112-1707 | 2011-12-09 |
Find all providers in SAN JOSE |
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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.