BRAIN INJURY SPECIALISTS-PHYSICAL INJURY SPECIALISTS INC. (NPI# 1639217508) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1639217508 |
| Entity Type | Organization |
| Organization Name | BRAIN INJURY SPECIALISTS-PHYSICAL INJURY SPECIALISTS INC. |
| Other Organization Name | PHYSICAL INJURY SPECIALISTS |
| Practice Address |
66 Encinal Pl Ventura CA 93001-3316 |
| Mailing Address |
1746f S Victoria Ave # 356 Ventura CA 93003-6592 |
| Practice Telephone | 8056430123 |
| Practice Fax Number | 8056430114 |
| Mailing Telephone | 8056430123 |
| Mailing Fax Number | 8056430114 |
| Enumeration Date | 2007-02-02 |
| Last Update Date | 2011-09-29 |
| Authorized Official Name | MS. ELIZABETH ANN VINCELETTE (CLINICAL DIRECTOR) |
| Authorized Official Telephone | 8056430123 |
| Authorized Official Credential | M.P.T. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 174400000X | Specialist | Other Service Providers |
| Other Name | Type Code |
|---|---|
| Physical Injury Specialists | Other Name - Individual/Organization |
| Street Address |
66 ENCINAL PL |
| City | VENTURA |
| State | CA |
| Zip Code | 93001-3316 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952929739 | Christine Yana Barna | Counselor | 641 E Thompson Blvd, Ventura, CA 93001 | 2020-07-08 |
| 1477024222 | 4 Kids 2 Kids | Psychiatric Residential Treatment Facility | 9223 Nye Road, Ventura, CA 93001 | 2018-12-05 |
| 1578046884 | Michelle Aquino | Counselor | 2222 Channel Dr, Ventura, CA 93001 | 2018-09-12 |
| 1700379096 | Terrence Swanson | Counselor | 125 W Harrison Ave Apt A, Ventura, CA 93001 | 2018-06-11 |
| 1376055012 | Bridge & Temple Inc | Optometrist | 828 E Main Street, Ventura, CA 93001 | 2017-11-03 |
| 1578073763 | Karin Huang | Counselor | 2001, 28th St, Bakerfield, CA 93001 | 2017-10-03 |
| 1487170346 | Stephanie Martello | Counselor | 864 East Santa Clara Street, Ventura, CA 93001 | 2017-08-22 |
| 1477080885 | Isabel Ojeda-cobaruvias | Specialist/Technologist | 1234 E. Main Street, Ventura, CA 93001 | 2017-05-16 |
| 1902219413 | Julio Perez | Specialist/Technologist | 1234 Main St., Ventura, CA 93001 | 2014-06-03 |
| 1417380478 | Lacey Piper | Dietitian, Registered | 2841 Harbor Blvd., Ventura, CA 93001 | 2013-08-14 |
| Find all providers in zip 93001 | ||||
| Taxonomy Code | 174400000X |
| Grouping | Other Service Providers |
| Classification | Specialist |
| An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
| Notes: Source: Expanded from Webster’s II New Riverside University Dictionary, Boston: Riverside Publishing Company, 1974. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649409889 | Geoffrey Van Breda Ayre-smith | Specialist | 5486 Hollings St, Ventura, CA 93003-2228 | 2009-07-09 |
| 1023265253 | David Reid Shapiro | Specialist | 1280 S Victoria Ave Ste 260, Ventura, CA 93003-6521 | 2008-08-19 |
| 1679759286 | Harbor Family and Pediatric Medical | Specialist | 3639 E. Harbor Blvd #106, Ventura, CA 93001 | 2008-01-14 |
| 1083833743 | Diana Lynn Castellanos | Specialist | 2856 Cabrillo Dr Ste 101, Ventura, CA 93003-2858 | 2007-04-24 |
| 1972630879 | Sleep Health Services Inc | Specialist | 3180 Loma Vista Rd, Ventura, CA 93003-2918 | 2007-02-27 |
| 1295877967 | Dennis Edwin Chenoweth | Specialist | 2812 Pacific Coast Hwy, Ventura, CA 93001-9727 | 2007-02-12 |
| 1518048370 | Peter L. Karlsberg, M.d. A Medical Corporation | Specialist | 1190 S Victoria Ave Ste 300, Ventura, CA 93003-6545 | 2006-10-18 |
| 1316038367 | Jillanne W. Mccarty | Specialist | 1280 S Victoria Ave Ste 160, Ventura, CA 93003-6504 | 2006-09-27 |
| 1205868577 | Caleb Manuel Guevara | Specialist | 138 S Bryn Mawr St, Apt. # 2, Ventura, CA 93003-4024 | 2006-07-07 |
| 1457398687 | Warwar Medical Group, Inc. | Specialist | 72 N Brent St, Ventura, CA 93003-2808 | 2006-05-31 |
| Find all providers in VENTURA | ||||
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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.