Provider Demographics
NPI:1225156524
Name:BARMAN & SARGENT INC
Entity Type:Organization
Organization Name:BARMAN & SARGENT INC
Other - Org Name:DIABLO WEST SPORTS MEDICINE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:JOHN
Authorized Official - Middle Name:
Authorized Official - Last Name:BARMAN
Authorized Official - Suffix:
Authorized Official - Credentials:PT
Authorized Official - Phone:650-365-8350
Mailing Address - Street 1:3550 ALAMEDA DE LAS PULGAS
Mailing Address - Street 2:
Mailing Address - City:MENLO PARK
Mailing Address - State:CA
Mailing Address - Zip Code:94025-6559
Mailing Address - Country:US
Mailing Address - Phone:650-926-9413
Mailing Address - Fax:650-926-9414
Practice Address - Street 1:3550 ALAMEDA DE LAS PULGAS
Practice Address - Street 2:
Practice Address - City:MENLO PARK
Practice Address - State:CA
Practice Address - Zip Code:94025-6559
Practice Address - Country:US
Practice Address - Phone:650-926-9413
Practice Address - Fax:650-926-9414
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-26
Last Update Date:2016-10-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAPT204702251S0007X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2251S0007XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistSportsGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
CACZ796AMedicare PIN