Complete Lymphedema Care, Inc.

Primary specialty

SpecialistTaxonomy code 174400000X

License

OT 6553 Issued in CA

Legal business name

COMPLETE LYMPHEDEMA CARE, INC.

Practice address

11750 Dublin Blvd
Suite 104
Dublin, CA 94568-2821

Phone

(925) 550-3532

Fax

(925) 831-0315

NPI assigned

Oct 18, 2013

Organization subpart

No

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

Authorized official

Name

Allyn Elizabeth Rankin-Martinez, OT

Title

Owner/Ceo

Phone

(925) 550-3532

Specialties & licenses 2

Addresses

Locations

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

{
    "created_epoch": "1382054400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1395100800000",
    "number": "1326476847",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11750 DUBLIN BLVD",
            "address_2": "SUITE 104",
            "city": "DUBLIN",
            "state": "CA",
            "postal_code": "945682821",
            "telephone_number": "925-550-3532",
            "fax_number": "925-831-0315"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11750 DUBLIN BLVD",
            "address_2": "SUITE 104",
            "city": "DUBLIN",
            "state": "CA",
            "postal_code": "945682821",
            "telephone_number": "925-550-3532",
            "fax_number": "925-831-0315"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMPLETE LYMPHEDEMA CARE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-10-18",
        "last_updated": "2014-03-18",
        "status": "A",
        "authorized_official_last_name": "RANKIN-MARTINEZ",
        "authorized_official_first_name": "ALLYN",
        "authorized_official_middle_name": "ELIZABETH",
        "authorized_official_title_or_position": "OWNER/CEO",
        "authorized_official_telephone_number": "925-550-3532",
        "authorized_official_credential": "OT"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "CA",
            "license": "OT 6553",
            "primary": true
        },
        {
            "code": "261QR0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation",
            "state": "CA",
            "license": "OT 6553",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Specialist in Dublin, CA
• Providers in Dublin, CA by specialty
• Specialist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 18, 2014; 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.