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JLD ALL-STARS NPI 1053941989


NPI Information

NPI: 1053941989
Provider Name: JLD ALL-STARS
Classification: Clinic/Center - 261QD1600X
Entity Type: Organization

Specialization: Developmental Disabilities

Address:
826 N WINCHESTER BLVD STE 2G
SAN JOSE, CA
ZIP 95128
Phone: (408) 337-2727
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JLD ALL-STARS is a developmental disabilities clinic center in San Jose, CA. The provider is an entity, facility, or distinct part of a facility providing comprehensive, multidiscipline diagnostic, treatment, therapy, training, and counseling services to children with congenital disorders that precipitate developmental delays and in many instances mental deficiencies (e.g., Cerebral Palsy, metabolic disorders, Sturge-Weber Syndrome, etc.). JLD ALL-STARS NPI is 1053941989. The provider is registered as an organization entity type and is a multiple single specialty group.

The provider's business location address is:

826 N WINCHESTER BLVD STE 2G
SAN JOSE, CA
ZIP 95128-357
Phone: (408) 337-2727
Fax: (408) 478-4130

The provider's authorized official is Jennifer L Davis .
The authorized official title is Ower/operator and has the following contact phone number (408) 337-2727.

The enumeration date for this NPI number is 1/20/2020 and was last updated on 1/20/2020.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1225X00000XOccupational TherapistNo
2225XF0002XOccupational TherapistFeeding, Eating & SwallowingNo
3225XP0200XOccupational TherapistPediatricsNo
4235Z00000XSpeech-Language PathologistNo
5252Y00000XEarly Intervention Provider AgencyNo
6261QD1600XClinic/CenterDevelopmental DisabilitiesYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.