FUNCTIONMD MEDICAL CENTER (NPI# 1568775161) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1568775161 |
| Entity Type | Organization |
| Organization Name | FUNCTIONMD MEDICAL CENTER |
| Practice Address |
215 S Hickory St Suite 118 Escondido CA 92025-4359 |
| Practice Telephone | 7604326644 |
| Practice Fax Number | 7607398213 |
| Enumeration Date | 2010-07-23 |
| Last Update Date | 2010-09-07 |
| Authorized Official Name | DR. JEFFREY CHEN (CEO) |
| Authorized Official Telephone | 9496828020 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208100000X | Physical Medicine & Rehabilitation | A102762 | CA | Allopathic & Osteopathic Physicians |
| Street Address |
215 S HICKORY ST SUITE 118 |
| City | ESCONDIDO |
| State | CA |
| Zip Code | 92025-4359 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487658720 | Jason P Van Dyke | Physical Therapist | 215 S Hickory St, Ste 224, Escondido, CA 92025-4393 | 2005-06-01 |
| 1659804938 | Russell Scott Kaczmar | Physical Therapist | 215 S Hickory St, Ste. 112, Escondido, CA 92025-4359 | 2017-04-04 |
| 1790228500 | Donna M. Ganley-o'brien | Occupational Therapist | 215 S Hickory St, Suite 112, Escondido, CA 92025-4359 | 2016-11-28 |
| 1659722320 | Gabriel Milo Perpetua Jr. | Physical Therapist | 215 S Hickory St, Suite 112, Escondido, CA 92025-4359 | 2016-06-23 |
| 1346690153 | Hospice Care of The Coast Inc | Hospice Care, Community Based | 215 S Hickory St, Suite 200, Escondido, CA 92025-4359 | 2016-06-13 |
| 1235572009 | Babette Anne Farmer | Massage Therapist | 215 S Hickory St, Suite 106, Escondido, CA 92025-4359 | 2013-04-11 |
| 1558671636 | Ednan Ahmed, M.d. Inc | Ophthalmology | 215 S Hickory St, #102, Escondido, CA 92025-4359 | 2010-10-07 |
| 1336346972 | Tania Lorena Rivera | Internal Medicine | 215 S Hickory St, Suite 114, Escondido, CA 92025-4359 | 2007-06-28 |
| 1891918694 | Paul V Polishuk Md Inc | Specialist | 215 S Hickory St, Suite 114, Escondido, CA 92025-4359 | 2007-04-10 |
| 1215093125 | Ednan Ahmed | Ophthalmology | 215 S Hickory St, Ste 102, Escondido, CA 92025-4360 | 2006-12-28 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962001230 | Tanya Geanna Macleod | Peer Specialist | 474 West Vermont Ave., Ste., 101, Escondido, CA 92025 | 2020-10-19 |
| 1801449640 | Jennifer Marsh | Marriage & Family Therapist | 403 N Escondido Blvd #533, Escondido, CA 92025 | 2019-07-21 |
| 1093281644 | Lucy Breen | Peer Specialist | 474 Weest Vermont Ave #104, Escondido, CA 92025 | 2018-10-22 |
| 1457834665 | Daniel & Max | Optometrist | 730 N Center City Parkway, Building A-1, Suite 101, Escondido, CA 92025 | 2018-09-13 |
| 1477033272 | Hyoshin Kwak | Acupuncturist | 106 S. Grape St, Suite 10, Escondido, CA 92025 | 2018-08-21 |
| 1467948877 | Irma P Garcia | Counselor | 337 West Mission Ave, Escondido, CA 92025 | 2018-07-09 |
| 1295235380 | Anna M. Rainville | Marriage & Family Therapist | 11701 San Pasqual Valley Rd, Escondido, CA 92025 | 2018-02-15 |
| 1689187049 | Monica Pino | Occupational Therapist | 469 E Grand Avenue, Escondido, CA 92025 | 2017-11-08 |
| 1427569581 | Mtk Primary Care Medical Group | Specialist | 1835a S Centre City Pkwy Ste 459, Escondido, CA 92025 | 2017-10-17 |
| 1619490349 | Elizabeth Sanchez Arvizu | Student in an Organized Health Care Education/Training Program | 490 N. Grape Stret, Escondido, CA 92025 | 2017-07-25 |
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| Taxonomy Code | 208100000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Physical Medicine & Rehabilitation |
| Physical medicine and rehabilitation, also referred to as rehabilitation medicine, is the medical specialty concerned with diagnosing, evaluating, and treating patients with physical disabilities. These disabilities may arise from conditions affecting the musculoskeletal system such as neck and back pain, sports injuries, or other painful conditions affecting the limbs, such as carpal tunnel syndrome. Alternatively, the disabilities may result from neurological trauma or disease such as spinal cord injury, head injury or stroke. A physician certified in physical medicine and rehabilitation is often called a physiatrist. The primary goal of the physiatrist is to achieve maximal restoration of physical, psychological, social and vocational function through comprehensive rehabilitation. Pain management is often an important part of the role of the physiatrist. For diagnosis and evaluation, a physiatrist may include the techniques of electromyography to supplement the standard history, physical, x-ray and laboratory examinations. The physiatrist has expertise in the appropriate use of therapeutic exercise, prosthetics (artificial limbs), orthotics and mechanical and electrical devices. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Physical Medicine and Rehabilitation, 2007. http://www.abpmr.org/. American Osteopathic Board of Physical Medicine and Rehabilitation, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Physical Medicine and Rehabilitation. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Physical Medicine and Rehabilitation. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427126572 | Bradley H Chesler M D A Professional Corporation | Physical Medicine & Rehabilitation | 1955 Citracado Pkwy Ste 203, Escondido, CA 92029-4112 | 2006-11-30 |
| 1629071469 | Bradley Howard Chesler | Physical Medicine & Rehabilitation | 1955 Citracado Pkwy, Suite 203, Escondido, CA 92029-4110 | 2005-05-24 |
| 1871091595 | Angel Chang Md, Inc. | Physical Medicine & Rehabilitation | 555 E Valley Pkwy, Escondido, CA 92025-3048 | 2018-01-28 |
| 1306224332 | Post-acute Physicians of California PC | Physical Medicine & Rehabilitation | 555 E Valley Pkwy, Escondido, CA 92025-3048 | 2015-05-11 |
| 1780942771 | Angel Chang | Physical Medicine & Rehabilitation | 555 E Valley Pkwy, Escondido, CA 92025-3048 | 2012-04-26 |
| 1265799878 | Kimberly R Davis | Physical Medicine & Rehabilitation | 2185 Citracado Pkwy, Escondido, CA 92029-4159 | 2012-04-19 |
| 1811147531 | Keyvan Esmaeili M D Inc | Physical Medicine & Rehabilitation | 215 S Hickory St Ste 118, Escondido, CA 92025-4304 | 2008-09-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477154730 | Drew Matthew Lemay | Physical Medicine & Rehabilitation | 2501 S El Camino Real, San Clemente, CA 92672-3350 | 2020-11-03 |
| 1821698325 | Karen Pena | Physical Medicine & Rehabilitation | 930 S Mount Vernon Ave, Grand Terrace, CA 92324-3928 | 2020-10-26 |
| 1104423052 | Prehab LLC | Physical Medicine & Rehabilitation | 10405 Sd Mssn Rd Ste 103105, San Diego, CA 92108-2102 | 2020-10-05 |
| 1699381517 | Paige Lauren Stephens | Physical Medicine & Rehabilitation | 6961 Los Amigos Cir, Huntington Beach, CA 92647-6659 | 2020-09-16 |
| 1740895788 | Rebecca Niamtu | Physical Medicine & Rehabilitation | 364 S Cloverdale Ave, Los Angeles, CA 90036-3478 | 2020-09-15 |
| 1245845296 | Brianna Brooskin | Physical Medicine & Rehabilitation | 2850 Adrian St Apt 102, San Diego, CA 92110-5700 | 2020-09-15 |
| 1366057622 | Jaime Lyn Kelley | Physical Medicine & Rehabilitation | 10213 Tillicum Way, Nevada City, CA 95959-2019 | 2020-09-14 |
| 1346853868 | Edwin Castillo | Physical Medicine & Rehabilitation | 767 Freeman Ave Apt 3, Long Beach, CA 90804-4988 | 2020-08-25 |
| 1225640675 | Hema Kamal | Physical Medicine & Rehabilitation | 1049 El Monte Ave, Mountain View, CA 94040-2398 | 2020-08-18 |
| 1760094338 | Bayhealth Connect LLC | Physical Medicine & Rehabilitation | 30 Union Ave Ste 210, Campbell, CA 95008-3162 | 2020-08-17 |
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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.