MR. PAUL-WAYNE JOHNSON MAHLOW


Address: 455 Oconnor Dr, Suite 150, San Jose, CA 95128-1633
Phone: 4082937767

MR. PAUL-WAYNE JOHNSON MAHLOW (NPI# 1699959320) 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) 1699959320
Entity Type Individual
Full Name MR. PAUL-WAYNE JOHNSON MAHLOW
Credential MA, ATC, CSCS
Practice Address 455 Oconnor Dr
Suite 150
San Jose
CA 95128-1633
Practice Telephone 4082937767
Practice Fax Number 4082946595
Mailing Telephone 4082937767
Mailing Fax Number 4082946595
Enumeration Date 2007-12-17
Last Update Date 2007-12-17
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 2255A2300X Specialist/Technologist
Specialization: Athletic Trainer
Respiratory, Developmental, Rehabilitative and Restorative Service Providers

Office Location

Street Address 455 OCONNOR DR
SUITE 150
City SAN JOSE
State CA
Zip Code 95128-1633

Providers in the same location

NPI Name Taxonomy Address Enumeration
1609861400 Aldon J Hilton Dentist 455 Oconnor Dr, Suite 320, San Jose, CA 95128-1633 2005-09-17
1245850585 Celina Allyn Mercer Student in an Organized Health Care Education/Training Program 455 Oconnor Dr, San Jose, CA 95128-1633 2020-04-16
1255820635 Alexandra Laura Duisberg Student in an Organized Health Care Education/Training Program 455 Oconnor Dr, San Jose, CA 95128-1633 2018-05-01
1457857831 William Chun-yin Hui Student in an Organized Health Care Education/Training Program 455 Oconnor Dr, San Jose, CA 95128-1633 2018-04-04
1760910467 Lucia Tome Family Medicine 455 Oconnor Dr, San Jose, CA 95128-1633 2017-05-25
1972985083 O'connor Hospital General Acute Care Hospital 455 Oconnor Dr, Suite 200, San Jose, CA 95128-1633 2015-06-25
1790167401 Angela F Chiang Student in an Organized Health Care Education/Training Program 455 Oconnor Dr, Suite 200, San Jose, CA 95128-1633 2015-06-18
1386026086 Nhat Pham Student in an Organized Health Care Education/Training Program 455 Oconnor Dr, Ste 200, San Jose, CA 95128-1633 2015-06-18
1396123568 Sutter Visiting Nurse Association and Hospice Clinic/Center 455 Oconnor Dr, Suite 300, San Jose, CA 95128-1633 2015-05-08
1194139253 David Shin Family Medicine 455 Oconnor Dr, Suite 250, San Jose, CA 95128 2014-06-17
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1982227138 Ruth Larsen Social Worker 850 S. Bascom Avenue, Suite 280, San Jose, CA 95128 2020-05-22
1265067185 Of Two Minds Psychotherapy Marriage & Family Therapist 190 S. Bascom Ave, Ste 130, San Jose, CA 95128 2020-03-11
1982244166 Cindy Pantoja Escobar Behavior Technician 100 O'connor Drive, Suites 21, San Jose, CA 95128 2020-01-15
1104460591 Katherine Alexandra Misogas Pharmacist 777 Turner Dr # 330, San Jose, CA 95128 2019-10-29
1942842216 Jodie Pierce Marriage & Family Therapist 871 Enborg Lane, San Jose, CA 95128 2019-10-08
1003466434 Dong Mi Cha Pharmacist 777 Turner Dr Ste 330, San Jose, CA 95128 2019-09-17
1114571759 Sleep Well Acupuncture, Inc Acupuncturist 1361 S Winchester Blvd Suite 206, San Jose, CA 95128 2019-08-01
1083277677 Wellocity, Inc Health Educator 334 Santana Row, 318, San Jose, CA 95128 2019-04-18
1518428812 Alexander Diaz Radiology 75 South Bascom Ave, San Jose, CA 95128 2019-03-28
1720542103 Nanci R Price Inc Chiropractor 100 O'connor Dr., Ste 27, San Jose, CA 95128 2019-01-30
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Taxonomy Information

Taxonomy Code 2255A2300X
Grouping Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Classification Specialist/Technologist
Specialization Athletic Trainer

Taxonomy Definition

Athletic trainers are allied health care professionals who work in consultation with or under the direction of physicians, and specialize in the prevention, assessment, treatment and rehabilitation of injuries and illnesses. Currently, the entry-level employment requirements are a bachelor’s degree with a major in athletic training from an accredited university or college. A majority of athletic trainers hold advanced degrees. National board certification is generally required as a condition of state licensure and employment. Most states regulate athletic trainers, and they practice within the scope of that license or regulation. Clinical practice includes emergency care, rehabilitation, reconditioning, therapeutic exercise, wellness programs, exercise physiology, kinesiology, biomechanics, nutrition, psychology and health care administration.
Notes: Source: National Athletic Trainers’ Association (www.NATA.org) [1/1/2006: modified definition, modified source]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1093326324 Kyungmo Han Specialist/Technologist Department of Kinesiology One Washington Square, San Jose, CA 95192-0001 2020-08-11
1518587021 Scott Allen Zimmerman Specialist/Technologist 5000 Mitty Way, San Jose, CA 95129-1868 2020-04-24
1407406788 Binh Hung Ton-that Specialist/Technologist 4198 Gion Ave, San Jose, CA 95127-1908 2019-09-18
1184279226 Tanner Fowler Specialist/Technologist 1306 The Alameda Apt 221, San Jose, CA 95126-5014 2019-08-06
1447804521 Michael Tai Tang Specialist/Technologist 424 S 7th St, San Jose, CA 95112-3809 2019-07-28
1376001784 Wilson Hsieh Specialist/Technologist 4648 Park Milford Pl, San Jose, CA 95136-2521 2019-03-05
1376012948 Theresa Ortiz Specialist/Technologist 796 Amanda Dr, San Jose, CA 95136-1909 2018-11-13
1073091625 Rachel Ann Vaccaro Specialist/Technologist 1539 Hervey Ln, San Jose, CA 95125-1849 2018-08-04
1063909190 Mayuresh Nandkeolyar Specialist/Technologist 5460 Don Diablo Ct, San Jose, CA 95123-3113 2018-04-14
1164929873 Catherine English Specialist/Technologist 850 The Alameda Ste 20, San Jose, CA 95126-3146 2018-04-09
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Competitor

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City SAN JOSE
Zip Code 95128

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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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