MR. KEVIN ANDERSON (NPI# 1508194366) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1508194366 |
| Entity Type | Individual |
| Full Name | MR. KEVIN ANDERSON |
| Credential | MA, ATC |
| Practice Address |
5151 Pacific Ave Stockton CA 95207-6370 |
| Practice Telephone | 2099545181 |
| Mailing Telephone | 2099545181 |
| Enumeration Date | 2009-12-05 |
| Last Update Date | 2019-09-02 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2255A2300X |
Specialist/Technologist Specialization: Athletic Trainer |
Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770143547 | Kevin Kirk Anderson | Physical Therapist | Dr. Kevin Anderson, 196 Lake Dow Rd, Mcdonough, GA 30252 | 2019-06-14 |
| 1669867511 | Kevin Scott Anderson | Psychologist | 111 N Main St Ste 205, Austin, MN 55912-3474 | 2015-03-30 |
| 1306115787 | Kevin Anderson | Specialist | 614 E Rosewood Ln, Tavares, FL 32778-4879 | 2011-12-14 |
| 1427242478 | Kevin Kalin Anderson | Occupational Therapist | 7409 Oak Ct, Horace, ND 58047-9531 | 2007-09-04 |
| 1215138912 | Kevin M Anderson | Massage Therapist | 144 S Morton Ave, Apt A20, Morton, PA 19070-2059 | 2007-05-30 |
| 1285759001 | Kevin Anderson | Counselor | 2004 Essex St, Berkeley, CA 94703-2513 | 2007-03-20 |
| 1447307020 | Kevin Edward Anderson | Psychologist | 4609 Glendale Ave, Toledo, OH 43614-1910 | 2007-01-04 |
| 1255407144 | Kevin Mark Anderson | Dentist | 10428 Rt 47, Huntley, IL 60142-0156 | 2006-11-24 |
| 1861507675 | Kevin K Anderson | Physician Assistant | 530 N 250 W, Salina, UT 84654-0129 | 2006-08-20 |
| 1093768335 | Kevin L. Anderson | Chiropractor | 1227 West Oak Street, Zionsville, IN 46077-1262 | 2006-05-18 |
| Street Address |
5151 PACIFIC AVE |
| City | STOCKTON |
| State | CA |
| Zip Code | 95207-6370 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407460751 | Community Medical Centers Inc | Clinic/Center | 5151 Pacific Ave, Lock Center Room 126 & 128, Stockton, CA 95207-6304 | 2020-09-03 |
| 1255989380 | Tessa Christine Dahl | Specialist/Technologist, Other | 5151 Pacific Ave, Stockton, CA 95207-6304 | 2019-09-02 |
| 1225585862 | Adrian Gudino | Pharmacy Technician | 5151 Pacific Ave, Stockton, CA 95207-6304 | 2016-09-01 |
| 1558764274 | Jamie Marie Derollo | Specialist/Technologist | 5151 Pacific Ave, Stockton, CA 95207-6304 | 2014-10-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669004438 | Dr. Jeffrey A Saladin, Dental Corporation | Dentist | 1002 Robinhood Drive, Stockton, CA 95207 | 2020-02-10 |
| 1811533110 | Tanya V Jones | Dental Hygienist | Community Medical Centers, 83 W. March Ln., Stockton, CA 95207 | 2019-11-21 |
| 1053966358 | Ingrid Marcela Saavedra | Behavioral Analyst | 1545 Saint Marks Plaza Ste 9, Stockton, CA 95207 | 2019-08-05 |
| 1497218861 | Turning Point Community Programs | Community/Behavioral Health | 1803 W March Ln Ste C-d, Stockton, CA 95207 | 2019-04-11 |
| 1427510627 | Stockton Sleep Center Inc | Physiological Laboratory | 1545 Saint Marks Plaza, Suite 2, Stockton, CA 95207 | 2019-04-05 |
| 1518436229 | Nicolas Anthony Overby | Occupational Therapist | Windsor Elmhaven Care Cente 6940 Pacific Ave, Stockton, CA 95207 | 2018-11-26 |
| 1912475724 | Ashley Johnson | Behavior Technician | 87 W. March Ln. Suite 6, Stockton, CA 95207 | 2018-11-09 |
| 1124596085 | Korie Cottrell | Behavior Technician | 87 W. March Ln., Suite 6, Stockton, CA 95207 | 2018-11-08 |
| 1760979645 | Maria Esther Rodriguez | Counselor | 2425 W March Ln., Stockton, CA 95207 | 2018-04-17 |
| 1902301161 | Lashray Elliott | Behavior Technician | 2291 W. Mach Lane, Ste C101, Stockton, CA 95207 | 2018-03-28 |
| Find all providers in zip 95207 | ||||
| Taxonomy Code | 2255A2300X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Specialist/Technologist |
| Specialization | Athletic Trainer |
| Athletic trainers are allied health care professionals who work in consultation with or under the direction of physicians, and specialize in the prevention, assessment, treatment and rehabilitation of injuries and illnesses. Currently, the entry-level employment requirements are a bachelor’s degree with a major in athletic training from an accredited university or college. A majority of athletic trainers hold advanced degrees. National board certification is generally required as a condition of state licensure and employment. Most states regulate athletic trainers, and they practice within the scope of that license or regulation. Clinical practice includes emergency care, rehabilitation, reconditioning, therapeutic exercise, wellness programs, exercise physiology, kinesiology, biomechanics, nutrition, psychology and health care administration. |
| Notes: Source: National Athletic Trainers’ Association (www.NATA.org) [1/1/2006: modified definition, modified source] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720600133 | Kayla Racquel Clarin | Specialist/Technologist | 6232 N Pershing Ave Apt 66, Stockton, CA 95207-4167 | 2020-05-08 |
| 1528607934 | Bryan Erspamer | Specialist/Technologist | 248 W Fremont St, Stockton, CA 95203-2800 | 2020-01-02 |
| 1306304795 | Jessie Sotelo | Specialist/Technologist | 1913 S San Joaquin St, Stockton, CA 95206-2739 | 2019-03-05 |
| 1659849800 | Janet Lenore Guill | Specialist/Technologist | 2015 Carlton Ave, Stockton, CA 95204-4814 | 2018-11-06 |
| 1053809368 | Teralyn Dodds | Specialist/Technologist | 5648 N El Dorado St, Stockton, CA 95207-4459 | 2018-04-23 |
| 1992235709 | Steven Anthony Flores | Specialist/Technologist | 800 W Eight Mile Rd, Stockton, CA 95209-9503 | 2017-06-14 |
| 1801322482 | Sarah Nichole January | Specialist/Technologist | 2821 Marietta Ct, Stockton, CA 95207-2306 | 2017-05-02 |
| 1245782622 | Christine Bolthouse | Specialist/Technologist | 1858 Lucerne Ave, Stockton, CA 95203-1440 | 2016-11-01 |
| 1487102307 | Carlee Lindsey | Specialist/Technologist | 1025 J Rd, Stockton, KS 67669-8827 | 2016-09-20 |
| 1275927238 | Ernest Anthony Delosangeles Jr. | Specialist/Technologist | 2220 N San Jose St, Stockton, CA 95204-5037 | 2015-03-26 |
| Find all providers in STOCKTON | ||||
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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.