MS. MARIANNE RENEE CABALLERO-RODRIGUEZ (NPI# 1659383925) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1659383925 |
Entity Type | Individual |
Full Name | MS. MARIANNE RENEE CABALLERO-RODRIGUEZ |
Credential | OT/L, CHT |
Practice Address |
1919 Grand Canal Blvd Suite C-4 Stockton CA 95207-8114 |
Mailing Address |
7824 Southworth Rd Valley Springs CA 95252-8971 |
Practice Telephone | 2099568737 |
Practice Fax Number | 2099562586 |
Mailing Telephone | 2097632528 |
Mailing Fax Number | 2097632947 |
Enumeration Date | 2006-08-13 |
Last Update Date | 2012-10-24 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 225000000X | Orthotic Fitter | 2470 | CA | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
N | 225X00000X | Occupational Therapist | 2470 | CA | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Y | 225XH1200X |
Occupational Therapist Specialization: Hand |
2470 | CA | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
N | 225XN1300X |
Occupational Therapist Specialization: Neurorehabilitation |
2470 | CA | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
CA | FIRST HEALTH | 1172170 | 01 |
CA | DMERC | 5268870001 | 01 |
CA | AETNA | 5530198 | 01 |
AR | MEDICARE RAILROAD | P00066568 | 01 |
CA | BLUE SHIELD PIN | OT0024700 | 01 |
CA | DEPARTMENT OF LABOR | 171713600 | 01 |
CA | BLUE SHIELD GROUP | ZZZ07989Z | 01 |
Street Address |
1919 GRAND CANAL BLVD SUITE C-4 |
City | STOCKTON |
State | CA |
Zip Code | 95207-8114 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1639181811 | Stockton Hand Therapy & Rehabilitation | Orthotic Fitter | 1919 Grand Canal Blvd, Suite C4, Stockton, CA 95207-8114 | 2006-08-13 |
1073724498 | Stockton Hand Therapy & Rehabilitation | Durable Medical Equipment & Medical Supplies | 1919 Grand Canal Blvd, Suite C4, Stockton, CA 95207-8114 | 2007-05-25 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1669004438 | Dr. Jeffrey A Saladin, Dental Corporation | Dentist | 1002 Robinhood Drive, Stockton, CA 95207 | 2020-02-10 |
1811533110 | Tanya V Jones | Dental Hygienist | Community Medical Centers, 83 W. March Ln., Stockton, CA 95207 | 2019-11-21 |
1053966358 | Ingrid Marcela Saavedra | Behavioral Analyst | 1545 Saint Marks Plaza Ste 9, Stockton, CA 95207 | 2019-08-05 |
1497218861 | Turning Point Community Programs | Community/Behavioral Health | 1803 W March Ln Ste C-d, Stockton, CA 95207 | 2019-04-11 |
1427510627 | Stockton Sleep Center Inc | Physiological Laboratory | 1545 Saint Marks Plaza, Suite 2, Stockton, CA 95207 | 2019-04-05 |
1518436229 | Nicolas Anthony Overby | Occupational Therapist | Windsor Elmhaven Care Cente 6940 Pacific Ave, Stockton, CA 95207 | 2018-11-26 |
1912475724 | Ashley Johnson | Behavior Technician | 87 W. March Ln. Suite 6, Stockton, CA 95207 | 2018-11-09 |
1124596085 | Korie Cottrell | Behavior Technician | 87 W. March Ln., Suite 6, Stockton, CA 95207 | 2018-11-08 |
1760979645 | Maria Esther Rodriguez | Counselor | 2425 W March Ln., Stockton, CA 95207 | 2018-04-17 |
1902301161 | Lashray Elliott | Behavior Technician | 2291 W. Mach Lane, Ste C101, Stockton, CA 95207 | 2018-03-28 |
Find all providers in zip 95207 |
Taxonomy Code | 225XH1200X |
Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Classification | Occupational Therapist |
Specialization | Hand |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1326180670 | Sarah Blessinger | Occupational Therapist | 534 E Pine St, Suite A, Stockton, CA 95204-5536 | 2007-02-13 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1518568559 | Mary Jean Allan | Occupational Therapist | 1070 Crestline Cir, El Dorado Hills, CA 95762-7223 | 2020-11-05 |
1154957280 | Jennifer Marie Macintire | Occupational Therapist | 7000 East Ave # B663l723, Livermore, CA 94550-9698 | 2020-03-20 |
1699324988 | Gabriela Garcia | Occupational Therapist | 15311 Gundry Ave Unit 11, Paramount, CA 90723-3987 | 2019-09-09 |
1720648298 | Josephine Mickelsen | Occupational Therapist | 22961 Soledad Canyon Rd, Santa Clarita, CA 91350-2633 | 2019-06-17 |
1376109108 | Bryan Kang | Occupational Therapist | 2411 Vanderbilt Ln # B, Redondo Beach, CA 90278-3213 | 2019-05-16 |
1104383074 | Hand Rehab Pros Antelope Valley | Occupational Therapist | 1037 E Palmdale Blvd Ste 201, Palmdale, CA 93550-4745 | 2019-02-26 |
1154886513 | Christine Clermont | Occupational Therapist | 1025 Service Pl, Vista, CA 92084-7200 | 2019-02-09 |
1831662287 | Arshia Mohamadi | Occupational Therapist | 2211 W Magnolia Blvd Ste 295, Burbank, CA 91506-1753 | 2019-01-09 |
1609354752 | Leigha Holtzhouser | Occupational Therapist | 15525 Pomerado Rd Ste C8, Poway, CA 92064-2426 | 2018-07-31 |
1669978292 | Brian David Van Der Wyk | Occupational Therapist | 9819 Nadine St, Temple City, CA 91780-2621 | 2018-04-03 |
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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.