Ken Okada, DPT | |
2587 Merced St, San Leandro, CA 94577-4207 | |
(510) 351-3553 | |
Not Available |
Full Name | Ken Okada |
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Gender | Male |
Speciality | Physical Therapist |
Location | 2587 Merced St, San Leandro, California |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1639822810 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225100000X | Physical Therapist | 297226 (California) | Primary |
Provider Name | California Luna Care Physical Therapy Pc |
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Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
Provider Identifiers | NPI Number: 1689162166 PECOS PAC ID: 9638427834 Enrollment ID: O20180803002123 |
Mailing Address | Practice Location Address |
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Ken Okada, DPT 16100 Bertero Ave, San Lorenzo, CA 94580-1124 Ph: (510) 427-5635 | Ken Okada, DPT 2587 Merced St, San Leandro, CA 94577-4207 Ph: (510) 351-3553 |
Ms. Ingvild Benedicte Gasmann, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1440 168th Ave, San Leandro, CA 94578 Phone: 510-481-3197 Fax: 510-481-6327 | |
Ernesto Jasso, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 2500 Merced St, San Leandro, CA 94577 Phone: 510-454-1000 | |
Adrian Samuel Girardeau, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 14537 Santiago Rd, San Leandro, CA 94577 Phone: 510-734-9708 | |
Byron Maigue Romero, P.T. Physical Therapist Medicare: Medicare Enrolled Practice Location: 2500 Merced Street, San Leandro, CA 94577 Phone: 510-454-1000 | |
Pattie Whitehurst, DPT,PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 13939 E 14th St Ste 150, San Leandro, CA 94578 Phone: 510-343-8300 | |
Ms. Leeanne Craft, P.T. Physical Therapist Medicare: Medicare Enrolled Practice Location: 2500 Merced St, San Leandro, CA 94577 Phone: 510-454-1000 Fax: 510-675-3241 | |
Kathleen Edmunds1, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1850 Fairway Dr, San Leandro, CA 94577 Phone: 510-435-4708 |