REDIMEDIC INC (NPI# 1649500877) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1649500877 |
Entity Type | Organization |
Organization Name | REDIMEDIC INC |
Practice Address |
3418 Loma Vista Rd Suite B Ventura CA 93003-3016 |
Practice Telephone | 8056444809 |
Practice Fax Number | 8056547090 |
Mailing Telephone | 8056444809 |
Mailing Fax Number | 8056547090 |
Enumeration Date | 2010-01-11 |
Last Update Date | 2010-01-11 |
Authorized Official Name | DR. STEPHEN ROBERT SHAW (MEDICAL DIRECTOR) |
Authorized Official Telephone | 8056444809 |
Authorized Official Credential | MD |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 208D00000X | General Practice | G47926 | CA | Allopathic & Osteopathic Physicians |
Street Address |
3418 LOMA VISTA RD SUITE B |
City | VENTURA |
State | CA |
Zip Code | 93003-3016 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1033104930 | Kristofer Paul Young | Chiropractor | 3418 Loma Vista Rd, Ste 1a, Ventura, CA 93003-3067 | 2005-09-16 |
1881229078 | Brittani Angelic Morris | Physical Therapist | 3418 Loma Vista Rd, Ventura, CA 93003-3016 | 2020-03-08 |
1801442280 | Alicia Fay Mau | Occupational Therapist | 3418 Loma Vista Rd, Ventura, CA 93003-3016 | 2019-08-12 |
1639532773 | Scott Deangelis | Specialist | 3418 Loma Vista Rd, Ventura, CA 93003-3016 | 2016-04-04 |
1760844518 | Christina Lauren Malone | Physical Therapist | 3418 Loma Vista Rd, Ventura, CA 93003-3016 | 2016-03-22 |
1760841191 | Excellent Hearing Aids | Hearing Aid Equipment | 3418 Loma Vista Rd, Suite 5a, Ventura, CA 93003-3016 | 2016-02-12 |
1003217555 | Sarah Kathleen Wallington | Physical Therapist | 3418 Loma Vista Rd, Ventura, CA 93003-3016 | 2014-09-15 |
1558604199 | Tammy Lyn Cruz | Occupational Therapist | 3418 Loma Vista Rd, Suite A, Ventura, CA 93003-3016 | 2013-04-02 |
1770830325 | Two Trees Physical Therapy & Wellness Inc | Physical Therapist | 3418 Loma Vista Rd, Ste A, Ventura, CA 93003-3016 | 2012-08-13 |
1285910679 | Marc Allen Broberg | Physical Therapist | 3418 Loma Vista Rd, Suite A, Ventura, CA 93003-3016 | 2011-10-29 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1124645924 | Community Memorial Health System | Pharmacy | 2790 Loma Vista Road, Ventura, CA 93003 | 2020-06-29 |
1730702952 | Sarah Manon Begert | Student in an Organized Health Care Education/Training Program | 300 Hillmont Ave., Bldg 340, Ste 201, Ventura, CA 93003 | 2020-05-21 |
1033763677 | Ashley Danielle Aguilar | Counselor | 5740 Ralston Suite 100, Ventura, CA 93003 | 2019-08-01 |
1730747239 | Azadeh Ellsworth | Nurse Practitioner | 1752 S Victoria Ave Ste 250, Ventura, CA 93003 | 2019-05-31 |
1992275556 | Melissa Marie Cole | Social Worker | 4949 Market St, Ventura, CA 93003 | 2018-11-27 |
1851868400 | Weldon Acupuncture Professional Corporation | Acupuncturist | 3737 Telegraph Road, Suite F, Ventura, CA 93003 | 2018-10-31 |
1952876468 | Isabella Florencia Gallegos | Specialist/Technologist | 1857 Knoll Dr., Ventura, CA 93003 | 2018-10-11 |
1437645421 | Jill Huang Wong | Psychologist | 3585 Maple St Ste 248, Ventura, CA 93003 | 2018-07-02 |
1346735156 | Lisa Ngoc Thi Nguyen | Student in an Organized Health Care Education/Training Program | 147 N. Brent Street, Ventura, CA 93003 | 2018-06-25 |
1457845331 | Khloe Frank | Student in an Organized Health Care Education/Training Program | 300 Hillmont Ave, Bldg 340, Suite 201, Ventura, CA 93003 | 2018-06-14 |
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Taxonomy Code | 208D00000X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | General Practice |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1659765980 | Advanced Spine & Sport Medical Rehabilitation Center, Inc | General Practice | 4601 Telephone Rd, Suite 110, Ventura, CA 93003-5670 | 2015-03-25 |
1508082157 | Gillian Austin Dorner | General Practice | 3291 Loma Vista Rd, Ventura, CA 93003-3099 | 2007-04-18 |
1093866188 | Marlene Kay Lamp | General Practice | 970 Petit Ave Ste D, Ventura, CA 93004-2215 | 2007-01-15 |
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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.