CAL SPORT PHYSICAL MEDICINE INC (NPI# 1952868218) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1952868218 |
| Entity Type | Organization |
| Organization Name | CAL SPORT PHYSICAL MEDICINE INC |
| Other Organization Name | CAL SPORT PHYSICAL MEDICINE |
| Practice Address |
157 S Sierra Ave Ste B Oakdale CA 95361-4049 |
| Practice Telephone | 2093222636 |
| Mailing Telephone | 2093222636 |
| Enumeration Date | 2019-02-22 |
| Last Update Date | 2019-03-28 |
| Authorized Official Name | DR. YOLANDA M JULIAN (PHYSICIAN/OWNER) |
| Authorized Official Telephone | 5306826140 |
| Authorized Official Credential | DO |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207R00000X | Internal Medicine | Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| CAL SPORT PHYSICAL MEDICINE | Doing Business As Name - Organization |
| Street Address |
157 S SIERRA AVE STE B |
| City | OAKDALE |
| State | CA |
| Zip Code | 95361-4049 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427453190 | Janet Kennedy Barretta | Marriage & Family Therapist | 210 South Sierra Suite 209 Serenity Heart Counseling Se, Oakdale, CA 95361 | 2014-10-23 |
| 1629483946 | Gina Maria Womack | Physical Therapy Assistant | 1570 E. F Street # N, Oakdale, CA 95361 | 2014-06-25 |
| 1457636946 | Eugene Awuah | Pharmacist | 2048 Royal Ascot Way, Oakdale, CA 95361 | 2011-10-15 |
| 1679852669 | Shiow-yan Chen | Pharmacist | 1449 East F Street Suite 102, Oakdale, CA 95361 | 2011-08-09 |
| 1659592475 | David Michael Meyers | Chiropractor | 715 West F Street, Oakdale, CA 95361 | 2007-05-01 |
| 1043372691 | Joanne Mccartney | Nurse Practitioner | 700 Laurel Avenue, Oakdale, CA 95361 | 2006-12-13 |
| 1457445587 | Suzanne Streater | Marriage & Family Therapist | 145 North Second Avenue, Suite 8, Oakdale, CA 95361 | 2006-10-03 |
| 1689786972 | Christina Louise Tourtlotte | Dentist | 1473 East G St, Ste C, Oakdale, CA 95361 | 2006-08-31 |
| 1750395042 | Janet R Busic | Psychologist | 7248 Gold Run Dr, Oakdale, CA 95361 | 2006-07-29 |
| 1609807346 | Consuelos S. Dizon | Anesthesiology | Oak Valley Hospital, 350 South Oak Ave., Oakdale, CA 95361 | 2006-07-05 |
| Find all providers in zip 95361 | ||||
| Taxonomy Code | 207R00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376669820 | Pradeep Y. Sarswat | Internal Medicine | Hwy 965n, Oakdale, IA 52319 | 2007-03-22 |
| 1134232119 | Elaine M Madayag-capuno | Internal Medicine | 715 W F St, Oakdale, CA 95361-3736 | 2006-08-16 |
| 1346252525 | David A Olson | Internal Medicine | 232 W F St, Oakdale, CA 95361-3844 | 2006-08-13 |
| 1639189616 | Chaitanya Natvarsinh Mahida | Internal Medicine | 1425 West H St. #380, Oakdale, CA 95361-3531 | 2006-08-09 |
| 1891782009 | Upinder Kaur Basi | Internal Medicine | 1425 W H St, Ste 380, Oakdale, CA 95361-3588 | 2005-10-03 |
| 1639498496 | Oakdale Internal Medicine | Internal Medicine | 107 Hospital Dr, Oakdale, LA 71463-3034 | 2010-05-19 |
| 1528226495 | Chaitanya N. Mahida M.d., Inc | Internal Medicine | 1425 W H St, Suite 380, Oakdale, CA 95361-3588 | 2008-05-28 |
| 1881893139 | Binitha Joseph | Internal Medicine | 107 Hospital Dr, Oakdale, LA 71463-3034 | 2007-07-17 |
| 1205962420 | Olson & Madayag-capuno,mds | Internal Medicine | 232 W F St, Oakdale, CA 95361-3844 | 2007-02-23 |
| 1306917430 | Andres Alberto Arellano | Internal Medicine | 1425 W H St, Suite 380, Oakdale, CA 95361-3588 | 2006-11-12 |
| Find all providers in OAKDALE | ||||
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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.