Jld All-stars is a
Clinic/center - Developmental Disabilities based in San Jose, California. Jld All-stars is licensed to practice in * (Not Available) (license number ) and their current practice location is
826 N Winchester Blvd Ste 2g, San Jose, California. It can be reached at their office (for appointments etc.) via phone at
(408) 337-2727.
NPI number for Jld All-stars is 1053941989 and their current mailing address is 826 N Winchester Blvd Ste 2g, San Jose, California. Jld All-stars
does not participate in medicare program and thus does not accept medicare assignments. The facility's NPI Number is 1053941989.
Healthcare Provider's Profile
| Full Name | Jld All-stars |
|---|
| Type | Facility |
|---|
| Speciality | Clinic/center - Developmental Disabilities |
|---|
| Location | 826 N Winchester Blvd Ste 2g, San Jose, California |
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. The facility may not accept medicare assignment. |
|---|
NPI Data:
- NPI Number: 1053941989
- Provider Enumeration Date: 01/20/2020
- Last Update Date: 01/20/2020
Medical Identifiers
Medical identifiers for Jld All-stars such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1053941989 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 225X00000X | Occupational Therapist | (* (Not Available)) | Secondary |
| 225XF0002X | Occupational Therapist - Feeding, Eating & Swallowing | (* (Not Available)) | Secondary |
| 225XP0200X | Occupational Therapist - Pediatrics | (* (Not Available)) | Secondary |
| 235Z00000X | Speech-language Pathologist | (* (Not Available)) | Secondary |
| 252Y00000X | Early Intervention Provider Agency | (* (Not Available)) | Secondary |
| 261QD1600X | Clinic/center - Developmental Disabilities | (* (Not Available)) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Jld All-stars is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Jld All-stars
826 N Winchester Blvd Ste 2g,
San Jose, CA 95128-1357
Ph: (408) 337-2727 | Jld All-stars
826 N Winchester Blvd Ste 2g,
San Jose, CA 95128-1357
Ph: (408) 337-2727 |
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