Medimanagement LLC

Primary specialty

Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X

Legal business name

MEDIMANAGEMENT LLC

Practice address

16130 Kokanee Rd Ste 101
Apple Valley, CA 92307-0833

Phone

(805) 522-9274

Fax

(805) 522-9374

NPI assigned

Mar 2, 2015

Organization subpart

No

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

Authorized official

Name

Dave Brown

Title

Ceo

Phone

(805) 522-9274

Specialties & licenses 3

Addresses

Locations

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

{
    "created_epoch": "1425254400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1425254400000",
    "number": "1508258419",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16130 KOKANEE RD STE 101",
            "city": "APPLE VALLEY",
            "state": "CA",
            "postal_code": "923070833",
            "telephone_number": "805-522-9274",
            "fax_number": "805-522-9374"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16130 KOKANEE RD STE 101",
            "city": "APPLE VALLEY",
            "state": "CA",
            "postal_code": "923070833",
            "telephone_number": "805-522-9274",
            "fax_number": "805-522-9374"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEDIMANAGEMENT LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-03-02",
        "last_updated": "2015-03-02",
        "status": "A",
        "authorized_official_last_name": "BROWN",
        "authorized_official_first_name": "DAVE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "805-522-9274"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "171100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Acupuncturist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "208100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Medicine & Rehabilitation",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Robin McMullen
• Kyleigh Dominque McNabb
• Zenaida Leeanne McNally
• Timothy Grant McNaughton, M.D
• Juliet Suzanne McNeil
• Cristina Amelia Medina
• Isaac Medina
• Yazmin Medina
• Blanca Medrano
• Denise Medrano

• Physical Medicine & Rehabilitation Physician in Apple Valley, CA
• Providers in Apple 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 Mar 2, 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.