WEE THRIVE PEDIATRIC THERAPY GROUP (NPI# 1558815456) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1558815456 |
| Entity Type | Organization |
| Organization Name | WEE THRIVE PEDIATRIC THERAPY GROUP |
| Practice Address |
1031 Avenida Pico Suite 201 San Clemente CA 92673-6352 |
| Practice Telephone | 9498729288 |
| Enumeration Date | 2016-08-09 |
| Last Update Date | 2016-08-09 |
| Authorized Official Name | GERALD FIANO (VP/CFOO) |
| Authorized Official Telephone | 9498729288 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QM1300X |
Clinic/Center Specialization: Multi-Specialty |
Ambulatory Health Care Facilities |
| Street Address |
1031 AVENIDA PICO SUITE 201 |
| City | SAN CLEMENTE |
| State | CA |
| Zip Code | 92673-6352 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841300910 | Frank Joseph Mogavero | Dentist | 1031 Avenida Pico, Suite 101, San Clemente, CA 92673-6352 | 2006-08-30 |
| 1538549449 | Camino Health Center | Clinic/Center | 1031 Avenida Pico, Ste 104, San Clemente, CA 92673-6352 | 2015-06-05 |
| 1093126609 | Colin X Jairam Md Inc | Family Medicine | 1031 Avenida Pico, Sutie 103, San Clemente, CA 92673-6352 | 2014-05-16 |
| 1528309754 | Teresa Delatolla Fiano | Specialist | 1031 Avenida Pico, Suite 201, San Clemente, CA 92673-6352 | 2013-03-13 |
| 1356635692 | Katherine Elizabeth Foster | Physical Therapist | 1031 Avenida Pico, Suite 201, San Clemente, CA 92673-6352 | 2011-06-03 |
| 1538327572 | Brighter Image Dental | Clinic/Center | 1031 Avenida Pico, #203, San Clemente, CA 92673-6352 | 2008-05-27 |
| 1821272295 | Colin Xephary Jairam | Emergency Medicine | 1031 Avenida Pico, Suite 103, San Clemente, CA 92673-6352 | 2007-12-20 |
| 1952511610 | Alfred Joseph Valenzuela | Physical Therapist | 1031 Avenida Pico, San Clemente, CA 92673 | 2007-05-23 |
| 1982810305 | Efraim John Moreno I | Dentist | 1031 Avenida Pico, Suite 202, San Clemente, CA 92673-6352 | 2007-05-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497246474 | Cynthia Hull Warren | Nutritionist | 2027 Via Concha, San Clemente, CA 92673 | 2018-05-24 |
| 1063942688 | Trinh T Tran | Pharmacist | 638 Camino De Los Mares #d5, San Clemente, CA 92673 | 2017-06-15 |
| 1427421791 | Jessica A Currens | Nurse Practitioner | 1001 Avenida Pico Ste C517, San Clemente, CA 92673 | 2015-11-08 |
| 1184010647 | Garrett Bryon Rubio | Student in an Organized Health Care Education/Training Program | 905 Calle Amanecer Ste. 265, San Clemente, CA 92673 | 2015-04-11 |
| 1255733853 | Body Mind Spirit Iop Inc | Psychologist | 665 Camino De Los Mares Ste 104, San Clemente, CA 92673 | 2014-09-25 |
| 1548677438 | Jessica Ann Riley | Dermatology | 1300 Avenida Vista Hermosa Ste 150, San Clemente, CA 92673 | 2014-07-13 |
| 1427398718 | Veena Menda | Specialist | 2232 Calle Opalo, San Clemente, CA 92673 | 2013-02-22 |
| 1124383781 | Alexandra Rose Corporation | Substance Abuse Rehabilitation Facility | 4009 Calle Abril, San Clemente, CA 92673 | 2012-07-10 |
| 1457612574 | Noelle J Deckman | Psychologist | 629 Camino De Los Mares Ste 207a, San Clemente, CA 92673 | 2012-06-05 |
| 1851686471 | Meighan Bartholomew Merono | Pharmacist | 990 Avenida Vista Hermosa, San Clemente, CA 92673 | 2011-06-10 |
| Find all providers in zip 92673 | ||||
| Taxonomy Code | 261QM1300X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Multi-Specialty |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265646699 | Comprehensive Medical Services | Clinic/Center | 1300 Avenida Vista Hermosa, Suite 220, San Clemente, CA 92673-6315 | 2007-05-08 |
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| Find all providers with the same taxonomy | ||||
| City | SAN CLEMENTE |
| Zip Code | 92673 |
Please comment or provide details below to improve the information on WEE THRIVE PEDIATRIC THERAPY GROUP.
| 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.