| Derek James Colvin, | |
|
499 Blossom Hill Rd, San Jose, CA 95123-1550 | |
| (408) 268-8536 | |
| Not Available |
| Full Name | Derek James Colvin |
|---|---|
| Gender | Male |
| Speciality | Occupational Therapist |
| Location | 499 Blossom Hill Rd, San Jose, California |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1649844747 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225X00000X | Occupational Therapist | 10226 (California) | Primary |
| Provider Name | Permanente Medical Group Inc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1073606299 PECOS PAC ID: 8921910225 Enrollment ID: O20031104000710 |
| Provider Name | Hands-on-care |
|---|---|
| Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
| Provider Identifiers | NPI Number: 1861664195 PECOS PAC ID: 3971682311 Enrollment ID: O20080509000314 |
| Mailing Address | Practice Location Address |
|---|---|
| Derek James Colvin, 1201 Parkmoor Ave Apt 3109, San Jose, CA 95126-3573 Ph: (408) 691-0081 | Derek James Colvin, 499 Blossom Hill Rd, San Jose, CA 95123-1550 Ph: (408) 268-8536 |
Marjereen Mirabueno, Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 459 Mignot Ln, San Jose, CA 95111 Phone: 650-814-0720 | |
Mrs. Judith Wolf Ivan, OTR Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 5998 Pilgrim Ave, San Jose, CA 95129 Phone: 408-252-9086 | |
Liza Bacal, OTR Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 75 N 13th St, San Jose, CA 95112 Phone: 408-295-2665 | |
Alyshia Ayn Abraham, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 1327 Hillcrest Dr, San Jose, CA 95120 Phone: 408-649-5745 | |
Jerilyn Smith, OTR SWC Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 30 Las Colinas Ln, San Jose, CA 95119 Phone: 408-284-2812 Fax: 408-284-2875 | |
Miss Mary-lynn Zweers, Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 2001 The Alameda, San Jose, CA 95126 Phone: 408-261-7777 Fax: 408-259-2273 | |
Patricia Pham Tran, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 556 N 1st St Ste 201, San Jose, CA 95112 Phone: 408-384-4993 Fax: 408-856-1246 |