Impact Medical Staffing, Inc

Primary specialty

Physical Disabilities Residential Treatment FacilityTaxonomy code 320700000X

License

9409 Issued in CA

Legal business name

IMPACT MEDICAL STAFFING, INC

Practice address

193 Harp Dr
Ripon, CA 95366-9334

Phone

(209) 603-0716

Fax

(209) 599-7478

NPI assigned

Feb 12, 2015

Last updated

Feb 12, 2015By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Melanie Aquino Dunniway, OTNPI 1114123825

Title

President

Phone

(209) 603-0716

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Melanie Aquino Dunniway, OTR

  • Occupational Therapist
  • Tracy, CA
  • NPI 1114123825
  Authorized official Same address or phone

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

{
    "created_epoch": "1423699200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1423699200000",
    "number": "1154712156",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "193 HARP DR",
            "city": "RIPON",
            "state": "CA",
            "postal_code": "953669334",
            "telephone_number": "209-603-0716",
            "fax_number": "209-599-7478"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "193 HARP DR",
            "city": "RIPON",
            "state": "CA",
            "postal_code": "953669334",
            "telephone_number": "209-603-0716",
            "fax_number": "209-599-7478"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IMPACT MEDICAL STAFFING, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-02-12",
        "last_updated": "2015-02-12",
        "status": "A",
        "authorized_official_last_name": "DUNNIWAY",
        "authorized_official_first_name": "MELANIE",
        "authorized_official_middle_name": "AQUINO",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "209-603-0716",
        "authorized_official_credential": "OT"
    },
    "taxonomies": [
        {
            "code": "320700000X",
            "taxonomy_group": "",
            "desc": "Residential Treatment Facility, Physical Disabilities",
            "state": "CA",
            "license": "9409",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Allen Dirk Hoek, OD
• Paul Michael Hogan, DO
• Kevin Hsiao
• Blake A Hufford, NP-C
• Kent Alan Hufford, M.D.
• Loni Isham
• Agnese Izzo
• J&B Partners in Home Health Care Inc
• James Jeffrey Daley MD
• Hun Hee Jeong

• Physical Disabilities Residential Treatment Facility in Ripon, CA
• Providers in Ripon, CA by specialty
• Physical Disabilities Residential Treatment Facility in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 12, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.