Mountain View Rehabilitation Medical Associates, Inc.

Primary specialty

Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X

Legal business name

MOUNTAIN VIEW REHABILITATION MEDICAL ASSOCIATES, INC.

Practice address

380 Sierra College Dr
Ste 200
Grass Valley, CA 95945-5081

Phone

(530) 477-0893

Fax

(530) 477-1450

NPI assigned

Sep 20, 2006

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Ms. Deborah Lea Thompson

Title

Business Manager

Phone

(530) 477-6283

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Locations

Networks

• BSC 65 PLUS INDIVIDUAL MAPDPlans: Blue Shield 65 Plus (HMO) (H0504-015-000, H0504); Blue Shield 65 Plus (HMO) (H0504-039-000, H0504); Blue Shield 65 Plus Plan 2 (HMO) (H0504-021-000, H0504); Blue Shield Inspire (HMO) (H0504-041-000, H0504); Blue Shield 65 Plus (HMO) (H0504-038-000, H0504); Blue Shield Inspire (HMO) (H0504-047-000, H0504); Blue Shield 65 Plus (HMO) (H0504-026-000, H0504); Blue Shield Advantage (HMO) (H0504-050-000, H0504); Blue Shield AdvantageOptimum Plan (HMO) (H5928-004-000, H5928); Blue Shield Inspire (HMO) (H0504-043-000, H0504)…

Practitioners 6

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Carrie Carter, PT

  • Physical Therapist
  • Grass Valley, CA
  • NPI 1063803021
  Medicare reassignment Care Compare group NPD
• Christine M Delaveaga, P.T.

  • Orthopedic Physical Therapist
  • Penn Valley, CA
  • NPI 1316963648
  Medicare reassignment Care Compare group NPD
• Michael Lawrence Jensen, D.O.

  • Physical Medicine & Rehabilitation Physician
  • Grass Valley, CA
  • NPI 1972603512
  Medicare reassignment Care Compare group NPD
• Joel David Richnak, M.D.

  • Physical Medicine & Rehabilitation Physician
  • Grass Valley, CA
  • NPI 1588762645
  Medicare reassignment Care Compare group NPD
• Gary M Glaze, D.O.

  • Interventional Pain Medicine Physician
  • Grass Valley, CA
  • NPI 1932150257
  NPD (past)
• Susan Ann Greenawald, M.D.

  • Neurology Physician
  • Grass Valley, CA
  • NPI 1972727329
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1158710400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1354147200000",
    "number": "1043317324",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10556 COMBIE RD",
            "address_2": "#6439",
            "city": "AUBURN",
            "state": "CA",
            "postal_code": "956028908",
            "telephone_number": "530-268-4664",
            "fax_number": "530-268-4666"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "380 SIERRA COLLEGE DR",
            "address_2": "STE 200",
            "city": "GRASS VALLEY",
            "state": "CA",
            "postal_code": "959455081",
            "telephone_number": "530-477-0893",
            "fax_number": "530-477-1450"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOUNTAIN VIEW REHABILITATION MEDICAL ASSOCIATES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-20",
        "last_updated": "2012-11-29",
        "status": "A",
        "authorized_official_last_name": "THOMPSON",
        "authorized_official_first_name": "DEBORAH",
        "authorized_official_middle_name": "LEA",
        "authorized_official_title_or_position": "BUSINESS MANAGER",
        "authorized_official_telephone_number": "530-477-6283",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "CA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD GROUP",
            "identifier": "ZZZ07115Z",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE RR GROUP",
            "identifier": "DA2353",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Matthew Todd Morris, M.D.
• Robert P Morris
• Mosaic Speech Therapy Inc
• Aaron J Moule
• Gregory Brian Moulton, DDS
• Mountain Voice and Speech Therapy PC
• Katie Mountain
• Kayla Moxley
• Julia Mudarri, MA, LMFT
• Joseph Mudd

• Physical Medicine & Rehabilitation Physician in Grass Valley, CA
• Providers in Grass Valley, CA by specialty
• Physical Medicine & Rehabilitation Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 29, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.