Brent A Talley (NPI# 1528553864, PAC ID# 6305196429) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PHYSICAL THERAPY.
| Nation Provider ID (NPI) | 1528553864 |
| PAC ID by PECOS | 6305196429 |
| Professional Enrollment ID | I20180911000713 |
| Full Name | Brent A Talley |
| Organization Legal Name | SPORTS CONDITIONING AND REHABILITATION OF CALIFORNIA INC |
| Address |
871 S Tustin St Orange CA 92866-3426 |
| Phone Number | 7146337227 |
| Gender | M |
| Graduation Year | 2018 |
| Primary Specialty | PHYSICAL THERAPY |
| Group Practice PAC ID | 2365512365 |
| Number of Group Practice Members | 4 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 2777 Bristol St, Suite B, Costa Mesa, CA 92626-5997 | 9492501112 | PROSPORT PHYSICAL THERAPY INC |
| 871 S Tustin St, Orange, CA 92866-3426 | 7146337227 | SPORTS CONDITIONING AND REHABILITATION OF CALIFORNIA INC |
| Organization Legal Name | SPORTS CONDITIONING AND REHABILITATION OF CALIFORNIA INC |
| Physicians | 5 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Caroline R Wilson | Physical Therapy | Sports Conditioning and Rehabilitation of California Inc | 871 S Tustin St, Orange, CA 92866-3426 |
| James W Herkimer | Physical Therapy | Sports Conditioning and Rehabilitation of California Inc | 871 S Tustin St, Orange, CA 92866-3426 |
| Elizabeth Cherry | Physical Therapy | Sports Conditioning and Rehabilitation of California Inc | 871 S Tustin St, Orange, CA 92866-3426 |
| Scott R Holman | Physical Therapy | Sports Conditioning and Rehabilitation of California Inc | 871 S Tustin St, Orange, CA 92866-3426 |
| Street Address |
871 S TUSTIN ST |
| City | ORANGE |
| State | CA |
| Zip | 92866-3426 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Caroline R Wilson | Physical Therapy | Sports Conditioning and Rehabilitation of California Inc | 871 S Tustin St, Orange, CA 92866-3426 |
| James W Herkimer | Physical Therapy | Sports Conditioning and Rehabilitation of California Inc | 871 S Tustin St, Orange, CA 92866-3426 |
| Elizabeth Cherry | Physical Therapy | Sports Conditioning and Rehabilitation of California Inc | 871 S Tustin St, Orange, CA 92866-3426 |
| Scott R Holman | Physical Therapy | Sports Conditioning and Rehabilitation of California Inc | 871 S Tustin St, Orange, CA 92866-3426 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| David Paltin | Psychologist, Clinical | 173 B N Glassell St, Orange, CA 92866-1406 | |
| Richard D Lehman | Clinical Social Worker | 112 E Chapman Ave, Suite A1, Orange, CA 92866-1487 | |
| Prit O Sinchai | Ophthalmology | 439 E Chapman Ave, Orange, CA 92866-1509 | |
| Anne E Lundquist | Chiropractic | 516 E Chapman Ave, Orange, CA 92866-1603 | |
| Mitch Patterson | Chiropractic | 516 E Chapman Ave, Orange, CA 92866-1603 | |
| Diane R Kelley | Clinical Psychologist | 629 E Chapman Ave, Orange, CA 92866-1604 | |
| James R Daehnert | Psychologist, Clinical | 734 E Chapman Ave, Orange, CA 92866-1621 | |
| Hal S Shimazu | Family Medicine | 845 E Chapman Ave, Orange, CA 92866-1622 | |
| Ana C Fajardo | Family Medicine | 845 E Chapman Ave, Orange, CA 92866-1622 | |
| Annette Bernhut-caplin | Family Medicine | 845 E Chapman Ave, Orange, CA 92866-1622 | |
| Find all physicians in zip 92866 | |||
| City | ORANGE |
| Zip Code | 92866 |
| Specialty | PHYSICAL THERAPY |
| City + Specialty | ORANGE + PHYSICAL THERAPY |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.