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).
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 |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 2255A2300X |
Specialist/Technologist Specialization: Athletic Trainer |
Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Street Address |
455 OCONNOR DR SUITE 150 |
City | SAN JOSE |
State | CA |
Zip Code | 95128-1633 |
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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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 |
Find all providers in zip 95128 |
Taxonomy Code | 2255A2300X |
Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Classification | Specialist/Technologist |
Specialization | Athletic Trainer |
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] |
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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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.