BRYAN P MCDADE (NPI# 1952404212) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1952404212 |
| Entity Type | Individual |
| Full Name | BRYAN P MCDADE |
| Practice Address |
80 Eureka Sq Unit 217 Pacifica CA 94044-2654 |
| Practice Telephone | 6505570885 |
| Practice Fax Number | 6504771506 |
| Mailing Telephone | 6505570885 |
| Mailing Fax Number | 6504771506 |
| Enumeration Date | 2006-09-05 |
| Last Update Date | 2010-03-02 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 225100000X | Physical Therapist | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | ||
| N | 2251P0200X |
Physical Therapist Specialization: Pediatrics |
Respiratory, Developmental, Rehabilitative and Restorative Service Providers | ||
| Y | 2355S0801X |
Specialist/Technologist Specialization: Speech-Language Assistant |
Speech, Language and Hearing Service Providers | ||
| N | 222Q00000X | Developmental Therapist | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
80 EUREKA SQ UNIT 217 |
| City | PACIFICA |
| State | CA |
| Zip Code | 94044-2654 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437502903 | Diane Blake | Social Worker | 80 Eureka Sq, Suite 151, Pacifica, CA 94044-2654 | 2016-07-19 |
| 1548616493 | Lopez-rullamas Chiropractic Inc | Point of Service | 80 Eureka Sq, Suite 217, Pacifica, CA 94044-2654 | 2016-05-10 |
| 1689032518 | Maria Anjoline Lopez-rullamas | Chiropractor | 80 Eureka Sq, Suite 217, Pacifica, CA 94044-2654 | 2016-02-06 |
| 1811386402 | Pacific Neurohealth, A Psychological Corporation | Psychologist | 80 Eureka Sq, Suite 218, Pacifica, CA 94044-2654 | 2015-01-20 |
| 1013159631 | Willow Family Therapy Inc | Marriage & Family Therapist | 80 Eureka Sq, Suite 216, Pacifica, CA 94044-2654 | 2009-03-27 |
| 1669612818 | Stephen Ignatius Lennon | Marriage & Family Therapist | 80 Eureka Sq, Ste. 151, Pacifica, CA 94044-2654 | 2009-03-01 |
| 1043402993 | Diane Custer | Marriage & Family Therapist | 80 Eureka Sq, Suite 151, Pacifica, CA 94044-2654 | 2007-08-14 |
| 1689881344 | Patricia Luken | Marriage & Family Therapist | 80 Eureka Sq, Suite 120, Pacifica, CA 94044-2654 | 2007-05-16 |
| 1023233202 | Jeffrey Joseph Bruno | Psychologist | 80 Eureka Sq, Suite 215, Pacifica, CA 94044-2654 | 2007-04-14 |
| 1447373493 | Marivic Rosabelle Dizon | Psychologist | 80 Eureka Sq, Suite 213, Pacifica, CA 94044-2654 | 2007-04-06 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245878818 | Megan Breanna Murphy | Behavior Technician | 352 Fairway Dr, Pacifica, CA 94044 | 2019-12-13 |
| 1033603360 | Aurelia Ann Mullen Spadini | Registered Nurse | 1467 Crespi Dr., Pacifica, CA 94044 | 2018-06-20 |
| 1306258595 | Kathy Marie Dodge | Marriage & Family Therapist | 243 Arroyo Drive, Pacifica, CA 94044 | 2014-05-22 |
| 1417367715 | Lisa Marie Lee | Nurse Practitioner | 340 Eureka Drive, Pacifica, CA 94044 | 2014-05-07 |
| 1730510306 | Erin Somers | Counselor | 435 Edgemar Avenue, Pacifica, CA 94044 | 2013-12-09 |
| 1730514761 | Lydia Mae Hernandez | Physical Therapy Assistant | 2400 Skyline Blvd, Apt G4, Pacifica, CA 94044 | 2013-09-10 |
| 1326483041 | Eddie B. Waldrup | Marriage & Family Therapist | 3976 24th Street, San Francisco, CA 94044 | 2013-05-08 |
| 1346593258 | Clarissa Laqui Dimacali | Nurse's Aide | 50 W. Manor Dr # 1393, Pacifica, CA 94044 | 2012-10-17 |
| 1164718581 | Jose Higareda Lopez | Counselor | 480 Manor Plaza, Pacifica, CA 94044 | 2011-06-23 |
| 1558693234 | Susanne Labarge | Acupuncturist | 1305 A Palmetto Ave, Pacifica, CA 94044 | 2010-02-05 |
| Find all providers in zip 94044 | ||||
| Taxonomy Code | 2355S0801X |
| Grouping | Speech, Language and Hearing Service Providers |
| Classification | Specialist/Technologist |
| Specialization | Speech-Language Assistant |
| Definition to come... |
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| 1912513904 | Jenifer G Camargo | Specialist/Technologist | 11284 Mountain Ave, Riverside, CA 92505-2633 | 2020-09-16 |
| 1508471186 | Rachael Catherine Stankey | Specialist/Technologist | 7 Seton Ct, Rancho Mirage, CA 92270-3714 | 2020-09-10 |
| 1104431774 | Andrea Marie Gonzalez | Specialist/Technologist | 1202 Kingsdale Dr, Corona, CA 92878-7708 | 2020-09-10 |
| 1316551302 | Taylor Kami Hirata | Specialist/Technologist | 21515 Hawthorne Blvd Ste Gl-100, Torrance, CA 90503-6501 | 2020-09-07 |
| 1811501166 | Carla Rita Rambo | Specialist/Technologist | 14772 Pineline Ave, Chino Hills, CA 91709 | 2020-09-03 |
| 1205449576 | Blind Children's Learning Center | Specialist/Technologist | 18542 Vanderlip Ave, Santa Ana, CA 92705-8201 | 2020-08-26 |
| 1922618867 | Jennifer Chan | Specialist/Technologist | 1281 Calle Cecilia, San Dimas, CA 91773-4435 | 2020-08-05 |
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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.