Jacob Vandenmeerendonk, DPT

Primary specialty

Orthopedic Physical TherapistTaxonomy code 2251X0800X

License

41436 Issued in CA

Practice address

40680 California Oaks Rd
Suite 2a
Murrieta, CA 92562-5753

Phone

(951) 894-4800

Fax

(951) 894-4804

NPI assigned

Jul 14, 2014

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2014

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

The Rehab GroupGroup PAC ID 5496844110, 9 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• The Rehab Group

  • Physical Therapist
  • Murrieta, CA
  • NPI 1912118076

  Orthopedic

  Medicare reassignment Care Compare group NPD
• John G Ellis MD Inc

  • Sports Medicine (Orthopaedic Surgery) Physician
  • Temecula, CA
  • NPI 1396927208
  Medicare reassignment NPD
• Dr. Matthew D.Robinson, Inc

  • Orthopaedic Surgery Physician
  • Temecula, CA
  • NPI 1598020646
  Medicare reassignment
• Kelley Sports Medicine Inc

  • Orthopaedic Surgery Physician
  • Temecula, CA
  • NPI 1144486903
  Medicare reassignment

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

{
    "created_epoch": "1405296000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1477785600000",
    "number": "1639586423",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "40680 CALIFORNIA OAKS RD",
            "address_2": "STE 2A",
            "city": "MURRIETA",
            "state": "CA",
            "postal_code": "925625755",
            "telephone_number": "951-894-4800",
            "fax_number": "951-894-4804"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "40680 CALIFORNIA OAKS RD",
            "address_2": "SUITE 2A",
            "city": "MURRIETA",
            "state": "CA",
            "postal_code": "925625753",
            "telephone_number": "951-894-4800",
            "fax_number": "951-894-4804"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VANDENMEERENDONK",
        "first_name": "JACOB",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-07-14",
        "last_updated": "2016-10-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2251X0800X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Orthopedic",
            "state": "CA",
            "license": "41436",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mayerli Valle
• Rebecca K Vallejo, FNP-C
• Chardonnay Van Ekelenburg
• Kayen Nakell Van Hulzen
• Lauren T Van Saun
• Marla Vander Kallen, LVN
• Maria Vanegas
• David Vanvoorhis
• Brianna Vanyo, RD
• Abigail Varas

• Orthopedic Physical Therapist in Murrieta, CA
• Providers in Murrieta, CA by specialty
• Orthopedic Physical Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 30, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.