KENNETH CRAIG VITALE (NPI# 1730176868) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1730176868 |
| Entity Type | Individual |
| Full Name | KENNETH CRAIG VITALE |
| Credential | M.D. |
| Practice Address |
350 Dickinson St Suite 121 San Diego CA 92103-1913 |
| Practice Telephone | 6195432539 |
| Practice Fax Number | 6195432540 |
| Mailing Telephone | 6195432539 |
| Mailing Fax Number | 6195432540 |
| Enumeration Date | 2005-10-04 |
| Last Update Date | 2015-01-17 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208100000X | Physical Medicine & Rehabilitation | C132964 | CA | Allopathic & Osteopathic Physicians |
| N | 2081S0010X |
Physical Medicine & Rehabilitation Specialization: Sports Medicine |
C132964 | CA | Allopathic & Osteopathic Physicians |
| Street Address |
350 DICKINSON ST SUITE 121 |
| City | SAN DIEGO |
| State | CA |
| Zip Code | 92103-1913 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427589001 | Jillian Plonsker | Student in an Organized Health Care Education/Training Program | 350 Dickinson St, Suite 411, San Diego, CA 92103-1913 | 2017-03-24 |
| 1174844146 | Robyn Marie Stuhr | Clinical Exercise Physiologist | 350 Dickinson St, Suite # 121, San Diego, CA 92103-1913 | 2010-06-14 |
| 1285952655 | Oliver O Tannous | Orthopaedic Surgery | 350 Dickinson St, Suite 121, Mc 8894, San Diego, CA 92103-1913 | 2010-05-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174140057 | Carmel Agdeppa | Acupuncturist | Chiropractique, 813 West Washington St., San Diego, CA 92103 | 2020-06-26 |
| 1568082717 | Salina Ann Bambic | Social Worker | 302 Washington Street Suite 420, San Diego, CA 92103 | 2020-04-17 |
| 1467099432 | Lina Hong | Behavior Technician | 3731 6th Ave. Suite 100, San Diego, Ca 92103, San Diego, CA 92103 | 2019-12-09 |
| 1154964567 | Rodger Stacy Questin, Psychologist P.C. | Psychologist | 440 Upas St Apt 402, San Diego, CA 92103 | 2019-10-18 |
| 1932740388 | Grace Tong-ventura | Pharmacist | 200 W. Arbor Drive, #8765, Suite 1-317, San Diego, CA 92103 | 2019-10-07 |
| 1306490453 | Genevieve Cheung | Pharmacist | 200 W Arbor Dr #8765, Department of Pharmacy, San Diego, CA 92103 | 2019-07-26 |
| 1801356837 | Marika Doviak | Acupuncturist | 2370 Hickory St, San Diego, CA 92103 | 2019-03-25 |
| 1982185070 | Tyler Lewis Roberts | Counselor | 4303 3rd Ave, San Diego, CA 92103 | 2018-08-27 |
| 1689151284 | Tori Breanne Blackwell | Occupational Therapist | 3731-a 6th Avenue, San Diego, CA 92103 | 2018-07-26 |
| 1952892614 | Pacific Bay Recovery Inc | Substance Abuse Rehabilitation Facility | 4095 Jackdaw St, San Diego, CA 92103 | 2018-05-29 |
| Find all providers in zip 92103 | ||||
| Taxonomy Code | 208100000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Physical Medicine & Rehabilitation |
| Physical medicine and rehabilitation, also referred to as rehabilitation medicine, is the medical specialty concerned with diagnosing, evaluating, and treating patients with physical disabilities. These disabilities may arise from conditions affecting the musculoskeletal system such as neck and back pain, sports injuries, or other painful conditions affecting the limbs, such as carpal tunnel syndrome. Alternatively, the disabilities may result from neurological trauma or disease such as spinal cord injury, head injury or stroke. A physician certified in physical medicine and rehabilitation is often called a physiatrist. The primary goal of the physiatrist is to achieve maximal restoration of physical, psychological, social and vocational function through comprehensive rehabilitation. Pain management is often an important part of the role of the physiatrist. For diagnosis and evaluation, a physiatrist may include the techniques of electromyography to supplement the standard history, physical, x-ray and laboratory examinations. The physiatrist has expertise in the appropriate use of therapeutic exercise, prosthetics (artificial limbs), orthotics and mechanical and electrical devices. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Physical Medicine and Rehabilitation, 2007. http://www.abpmr.org/. American Osteopathic Board of Physical Medicine and Rehabilitation, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Physical Medicine and Rehabilitation. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Physical Medicine and Rehabilitation. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104423052 | Prehab LLC | Physical Medicine & Rehabilitation | 10405 Sd Mssn Rd Ste 103105, San Diego, CA 92108-2102 | 2020-10-05 |
| 1245845296 | Brianna Brooskin | Physical Medicine & Rehabilitation | 2850 Adrian St Apt 102, San Diego, CA 92110-5700 | 2020-09-15 |
| 1346870706 | Alexandra Anderson | Physical Medicine & Rehabilitation | 9333 Genesee Ave Ste 350b, San Diego, CA 92121-2111 | 2020-01-24 |
| 1902305105 | Marirose Esguerra Liganor | Physical Medicine & Rehabilitation | 15821 Lofty Trail Dr, San Diego, CA 92127-2039 | 2018-02-02 |
| 1508376153 | Alyssa Renee Benrard | Physical Medicine & Rehabilitation | 5607 Camber Pl, San Diego, CA 92117-4051 | 2017-10-10 |
| 1750829487 | Mira Mesa Business Group LLC | Physical Medicine & Rehabilitation | 9460 Mira Mesa Blvd, Suite L, San Diego, CA 92126-4851 | 2017-02-01 |
| 1396162061 | Joseph Pascual | Physical Medicine & Rehabilitation | 4445 Casitas St, San Diego, CA 92107-4217 | 2014-03-19 |
| 1518233253 | Pamela Geddis | Physical Medicine & Rehabilitation | 7045 Charmant Dr Apt 122, San Diego, CA 92122-4341 | 2012-03-27 |
| 1760779201 | Victoria Lin | Physical Medicine & Rehabilitation | 8690 Aero Dr Ste 115-65, San Diego, CA 92123-1886 | 2011-07-05 |
| 1568511061 | Emily Huang | Physical Medicine & Rehabilitation | 13044 Signature Pt Apt 34, San Diego, CA 92130-1549 | 2007-01-10 |
| Find all providers in SAN DIEGO | ||||
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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.