MR. JACK DABBERT (NPI# 1467657353) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1467657353 |
| Entity Type | Individual |
| Full Name | MR. JACK DABBERT |
| Credential | P.T. |
| Practice Address |
250 Travelodge Dr El Cajon CA 92020-4126 |
| Mailing Address |
7491 Comet View Ct San Diego CA 92120-2004 |
| Practice Telephone | 6194413112 |
| Mailing Telephone | 6195824073 |
| Enumeration Date | 2007-06-19 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2251X0800X |
Physical Therapist Specialization: Orthopedic |
PT9021 | CA | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
250 TRAVELODGE DR |
| City | EL CAJON |
| State | CA |
| Zip Code | 92020-4126 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962464057 | Renae Laree Black | Midwife | 250 Travelodge Dr, Kaiser Permanente, El Cajon, CA 92020-4126 | 2006-04-04 |
| 1194181834 | Dau Nguyen | Physical Therapist | 250 Travelodge Dr, Physical Therapy Department, El Cajon, CA 92020-4126 | 2016-01-11 |
| 1902277015 | Daphne Lee | Pharmacist | 250 Travelodge Dr, Outpatient Pharmacy - 1st Floor, El Cajon, CA 92020-4126 | 2015-10-15 |
| 1528499282 | Alan Cao | Podiatrist | 250 Travelodge Dr, El Cajon, CA 92020-4126 | 2013-12-06 |
| 1588917173 | Ashley Marie Calvillo | Student in an Organized Health Care Education/Training Program | 250 Travelodge Dr, El Cajon, CA 92020-4126 | 2012-10-19 |
| 1770839334 | Carole Lynn Harris | Nurse Practitioner | 250 Travelodge Dr, Ob/gyn, El Cajon, CA 92020-4126 | 2012-07-31 |
| 1811284151 | Evan Kathleen Harrison | Obstetrics & Gynecology | 250 Travelodge Dr, El Cajon, CA 92020-4126 | 2011-07-07 |
| 1780830885 | Najeeb Khan | Orthopaedic Surgery | 250 Travelodge Dr, El Cajon, El Cajon, CA 92020-4126 | 2008-08-08 |
| 1417122698 | Joseph Estephan Sadekian | Health Maintenance Organization | 250 Travelodge Dr, El Cajon, CA 92020-4126 | 2008-04-28 |
| 1285809467 | Paul Mehdi Hamrah | Health Maintenance Organization | 250 Travelodge Dr, El Cajon, CA 92020-4126 | 2008-04-28 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447877840 | Margarito Alejandro Torres | Behavior Technician | 1005 S. Sunshine Ave, El Cajon, CA 92020 | 2020-07-01 |
| 1619503166 | Stella Zeicu Varagic | Dentist | 2526 Fletcher Pkwy, El Cajon, CA 92020 | 2020-03-17 |
| 1548827819 | Unexpected Possibilities, Inc | Non-emergency Medical Transport (VAN) | 1015 El Cajon Blvd # A, El Cajon, CA 92020 | 2019-05-22 |
| 1083175707 | Maricela Uriarte D.d.s | Dentist | 164 W Park Ave, El Cajon, CA 92020 | 2019-03-26 |
| 1881153963 | Rubeleta Medina | Nurse Practitioner | 1908 Friendship Drive, El Cajon, CA 92020 | 2019-03-18 |
| 1235619800 | Melissa Gomez | Counselor | 1600 Cuyamaca St, El Cajo, CA 92020 | 2018-08-14 |
| 1013407790 | Erin Metcalf | Family Medicine | 133 W Main St., 240, El Cajon, CA 92020 | 2018-05-17 |
| 1326535220 | Diana Orozco | Counselor | 1870cordell Court, Suite 101, El Cajon, CA 92020 | 2018-04-16 |
| 1104330646 | Mercy Air Service, Inc. | Ambulance | 545 Kenney St Ste G1a, El Cajon, CA 92020 | 2017-11-20 |
| 1790296184 | Way Cool Homecare, Inc | In Home Supportive Care | 900 N. Cuyamaca Street, Ste 201, El Cajon, CA 92020 | 2017-10-12 |
| Find all providers in zip 92020 | ||||
| Taxonomy Code | 2251X0800X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Physical Therapist |
| Specialization | Orthopedic |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952363111 | Robert H Hickman Jr. | Physical Therapist | 1679 E Main St, Suite 107, El Cajon, CA 92021-5212 | 2006-04-04 |
| 1497122873 | Andrew Adamian | Physical Therapist | 1663 Greenfield Dr, El Cajon, CA 92021-3520 | 2015-09-01 |
| 1285839977 | Kevin Wynveen | Physical Therapist | 250 Travelodge Dr, El Cajon, CA 92020-4126 | 2007-06-20 |
| 1417152307 | Alfred Allan Kurz | Physical Therapist | 250 Travelodge Dr, El Cajon, CA 92020-4126 | 2007-06-19 |
| 1861697351 | Peter Gunnarson Rambo | Physical Therapist | 250 Travelodge Dr, El Cajon, CA 92020-4126 | 2007-06-15 |
| 1508061078 | Michael George Horan | Physical Therapist | 250 Travelodge Dr, El Cajon, CA 92020-4126 | 2007-06-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568063311 | Kayla Utley | Physical Therapist | 5201 Norris Canyon Rd Ste 230, San Ramon, CA 94583-5405 | 2020-11-06 |
| 1184225054 | Vuk Ekmecic | Physical Therapist | 7908 Rancho Fanita Dr Spc 23, Santee, CA 92071-3421 | 2020-11-05 |
| 1932700283 | Christopher Lui | Physical Therapist | 21621 E Bluebell Ct, Walnut, CA 91789-1443 | 2020-11-03 |
| 1952900789 | Sierra Speck | Physical Therapist | 11701 Wilshire Blvd Ste 14b1, Los Angeles, CA 90025-1547 | 2020-10-22 |
| 1992312086 | Heidi Lynne Anders | Physical Therapist | 5805 W 8th St Apt 205, Los Angeles, CA 90036-4576 | 2020-09-23 |
| 1578176780 | Patricia Isabella Commer | Physical Therapist | 4146 Randolph Ave, Oakland, CA 94602-1314 | 2020-08-26 |
| 1376151126 | Yifu Zhou | Physical Therapist | 1625 W Olympic Blvd Ste 790, Los Angeles, CA 90015-3809 | 2020-07-17 |
| 1033732250 | Sync Physical Therapy & Yoga Inc | Physical Therapist | 5100 Marlborough Dr Ste 101, San Diego, CA 92116-2020 | 2020-05-21 |
| 1043830961 | Dr. Holly Physical Therapy | Physical Therapist | 4500 Shepard St, Bakersfield, CA 93313-2326 | 2020-04-21 |
| 1861011744 | Lauren Jarmusz | Physical Therapist | 1107 2nd Ave Apt 408, Redwood City, CA 94063-4036 | 2020-04-10 |
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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.