MS. MARIANNE RENEE CABALLERO-RODRIGUEZ


Address: 1919 Grand Canal Blvd, Suite C-4, Stockton, CA 95207-8114
Phone: 2099568737

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).

Provider Overview

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

Taxonomy

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

Other Provider Identifier

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

Office Location

Street Address 1919 GRAND CANAL BLVD
SUITE C-4
City STOCKTON
State CA
Zip Code 95207-8114

Providers in the same location

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

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NPI Name Taxonomy Address Enumeration
1669004438 Dr. Jeffrey A Saladin, Dental Corporation Dentist 1002 Robinhood Drive, Stockton, CA 95207 2020-02-10
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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
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Taxonomy Information

Taxonomy Code 225XH1200X
Grouping Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Classification Occupational Therapist
Specialization Hand

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1326180670 Sarah Blessinger Occupational Therapist 534 E Pine St, Suite A, Stockton, CA 95204-5536 2007-02-13

Providers in the same taxonomy and state

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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Competitor

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City STOCKTON
Zip Code 95207

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Dataset Information

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.

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