BENJAMIN N OTTO (NPI# 1548807670) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1548807670 |
| Entity Type | Individual |
| Full Name | BENJAMIN N OTTO |
| Credential | MASSAGE PRACTITIONER |
| Practice Address |
6055 Meridian Ave Ste 30 San Jose CA 95120-2700 |
| Practice Telephone | 4088778695 |
| Mailing Telephone | 4088778695 |
| Enumeration Date | 2019-12-09 |
| Last Update Date | 2019-12-09 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225700000X | Massage Therapist | 54415 | CA | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306408414 | Benjamin Otto | Student in an Organized Health Care Education/Training Program | 1130 W Michigan St # Fh204, Indianapolis, IN 46202-5209 | 2019-06-28 |
| Street Address |
6055 MERIDIAN AVE STE 30 |
| City | SAN JOSE |
| State | CA |
| Zip Code | 95120-2700 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881018562 | Kirsten Cooper | Acupuncturist | 6055 Meridian Ave Ste 30, San Jose, CA 95120 | 2014-02-14 |
| 1639687304 | Tu Hoang Nguyen | Acupuncturist | 6055 Meridian Ave Ste 30, San Jose, CA 95120 | 2018-01-16 |
| 1295249258 | Sophia Cuevas Kieri | Acupuncturist | 6055 Meridian Ave Ste 30, San Jose, CA 95120-2700 | 2017-11-28 |
| 1073026183 | Dao Wellness & Acupuncture Center, A Prof. Org. | Massage Therapist | 6055 Meridian Ave Ste 30, San Jose, CA 95120-2700 | 2017-11-10 |
| 1457862922 | C. Julia Kao | Acupuncturist | 6055 Meridian Ave Ste 30, San Jose, CA 95120 | 2017-10-23 |
| 1033654025 | Hsueh Lee | Acupuncturist | 6055 Meridian Ave Ste 30, San Jose, CA 95120-2700 | 2016-12-29 |
| 1285005843 | Hsun Lee | Acupuncturist | 6055 Meridian Ave Ste 30, San Jose, CA 95120-2700 | 2015-10-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386117554 | Karen Patterson | Speech-Language Pathologist | 6052 Cecala Dr, San Jose, CA 95120 | 2019-01-09 |
| 1881116705 | Geetha M Narayanan | Marriage & Family Therapist | 1051 Mountain Shadows Road, San Jose, CA 95120 | 2017-07-12 |
| 1164849592 | Vicente Ceja | Physical Therapist | 6155 Almaden Expy., # 150, San Jose, CA 95120 | 2014-03-24 |
| 1699034587 | Mahboobe Ahmadi | Speech-Language Pathologist | 6554 Mcabee Rd., San Jose, CA 95120 | 2012-05-11 |
| 1679860142 | Nicole L Lewis | Family Medicine | 6475 Camden Ave Ste 105, San Jose, CA 95120 | 2011-07-06 |
| 1659677243 | Sundus Ali | Pediatrics | 6489 Camden Ave Ste 102, San Jose, CA 95120 | 2011-01-31 |
| 1851513659 | Abir Tadros | Dentist | 1041 Mazzone Dr., San Jose, CA 95120 | 2007-05-02 |
| 1053472365 | Clara Nancy Andirious | Dentist | 6472 Camden Ave., Suite 100, San Jose, CA 95120 | 2006-12-12 |
| 1104922384 | Timothy Tuan Lai | Dentist | 5945 Almaden Expressway, Suite #160, San Jose, CA 95120 | 2006-09-15 |
| 1528170669 | Broberg Physical Therapy | Occupational Therapist | 6055 Meridian Ave, Suite 110, San Jose, CA 95120 | 2006-08-31 |
| Find all providers in zip 95120 | ||||
| Taxonomy Code | 225700000X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Massage Therapist |
| An individual trained in the manipulation of tissues (as by rubbing, stroking, kneading, or tapping) with the hand or an instrument for remedial or hygienic purposes. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770181521 | Ebonique Zanale Wilson | Massage Therapist | 380 Vista Roma Way Unit 316, San Jose, CA 95136-4421 | 2020-10-14 |
| 1225635162 | Veronica Isabel Foggie | Massage Therapist | 3570 Ct, San Jose, CA 95127 | 2020-10-05 |
| 1659988897 | Francis Beaudry | Massage Therapist | 1374 Piland Dr, San Jose, CA 95130-1339 | 2020-09-30 |
| 1972118586 | Niane Oliveira Ribeiro De Sa | Massage Therapist | 1174 Lincoln Ave Ste 5, San Jose, CA 95125-3029 | 2020-09-10 |
| 1164061412 | Castrell Neuromuscular Therapy | Massage Therapist | 3880 S Bascom Ave Ste 108, San Jose, CA 95124-2600 | 2020-01-04 |
| 1285192468 | Mae Rose Corley | Massage Therapist | 841 Blossom Hill Rd Ste 108, San Jose, CA 95123-2704 | 2019-03-07 |
| 1750870747 | Gertrud Stojancic | Massage Therapist | 3315 Almaden Expressway, # 27/29, San Jose, CA 95125 | 2018-05-04 |
| 1457889958 | Chris Shelton | Massage Therapist | 1314 Lincoln Ave Ste 2b, San Jose, CA 95125-3012 | 2017-05-27 |
| 1477098572 | Richard C Rhodes | Massage Therapist | 2618 Hill Park Dr, San Jose, CA 95124-1734 | 2016-12-27 |
| 1114398658 | Myung Sook Lee | Massage Therapist | 765 Modern Ice Dr, San Jose, CA 95112-4857 | 2015-10-09 |
| 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.