MR. ANTHONY PETRONE JR. (NPI# 1023085883) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1023085883 |
| Entity Type | Individual |
| Full Name | MR. ANTHONY PETRONE JR. |
| Credential | MA |
| Practice Address |
140 Sylvester Rd San Diego CA 92106-3521 |
| Mailing Address |
1301 Long View Dr Chula Vista CA 91915-1664 |
| Practice Telephone | 6195538719 |
| Practice Fax Number | 6195537758 |
| Mailing Telephone | 6195538719 |
| Mailing Fax Number | 6195537758 |
| Enumeration Date | 2006-03-01 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | X |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1710I1003X |
Military Health Care Provider Specialization: Independent Duty Medical Technicians |
Other Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578819819 | Anthony Robert Petrone | Dentist | 2225 A1a S, Suite A3, Saint Augustine, FL 32080-2916 | 2012-07-24 |
| 1891990008 | Anthony J Petrone | Chiropractor | 275 W Higgins Rd, Hoffman Estates, IL 60195-3726 | 2007-06-18 |
| Street Address |
140 SYLVESTER RD |
| City | SAN DIEGO |
| State | CA |
| Zip Code | 92106-3521 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487641171 | Amy Lynn Bryer | Dentist | 140 Sylvester Rd, Dental Dept, San Diego, CA 92106-3521 | 2005-09-29 |
| 1144860990 | Jose Luis Pina | Military Health Care Provider | 140 Sylvester Rd, San Diego, CA 92106-3521 | 2020-01-09 |
| 1063050276 | Jocelyn V. Sazon | Registered Nurse | 140 Sylvester Rd, San Diego, CA 92106-3521 | 2019-12-18 |
| 1609273390 | Michael Ray Williams | Military Health Care Provider | 140 Sylvester Rd, San Diego, CA 92106-3521 | 2014-11-25 |
| 1831590850 | Colwyn Omano Wiltshire | Military Health Care Provider | 140 Sylvester Rd, Bldg 139, San Diego, CA 92106-3521 | 2014-09-09 |
| 1831537638 | Gina Stines | Social Worker | 140 Sylvester Rd, Sarp Bldg. 500, San Diego, CA 92106-3521 | 2013-06-13 |
| 1457640393 | Darwin Thomas | Military Health Care Provider | 140 Sylvester Rd, San Diego, CA 92106-3521 | 2011-03-31 |
| 1053628321 | Mark Michael Heyne | Psychologist | 140 Sylvester Rd, Building 500, San Diego, CA 92106-3521 | 2010-09-08 |
| 1467784314 | Bernard Spraggins | Military Health Care Provider | 140 Sylvester Rd, Building 5, San Diego, CA 92106-3521 | 2010-02-03 |
| 1467785907 | David Fisher | Military Health Care Provider | 140 Sylvester Rd, San Diego, CA 92106-3521 | 2009-09-16 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821650300 | Ktre1, LLC | Assisted Living Facility | 3219 Canon St., San Diego, CA 92106 | 2019-07-03 |
| 1093289910 | Ahsha Smith | Occupational Therapist | 2026 Roosevelt Road, #105, San Diego, CA 92106 | 2019-01-14 |
| 1710429147 | William Anthony Rodriquez | Social Worker | 140 Sylvester Ln. Building 500, Sarp Naval Base Pt Loma, San Diego, CA 92106 | 2016-11-16 |
| 1992123285 | Mark Wilson | Occupational Therapist | 2820 Roosevelt Road Ste 105, San Diego, CA 92106 | 2014-04-03 |
| 1659704542 | Sarah Hanem Izaguirre | Counselor | 2305 Historic Decatur Rd Ste 100, San Diego, CA 92106 | 2013-08-14 |
| 1285945451 | Danielle R Michaelis Castillo | Marriage & Family Therapist | 2305 Historic Decatur Rd., Suite 100, San Diego, CA 92106 | 2010-06-23 |
| 1588991145 | Philip Charles Rumsey | Dentist | 1050 Rosecrans St., Suite J, San Diego, CA 92106 | 2009-11-03 |
| 1801024575 | David Michael Spera | Dentist | 1050 Rosecrans, #j, San Diego, CA 92106 | 2009-07-01 |
| 1548408834 | Dolores Sanchez Pullen | Counselor | 1360 Rosecrans Street, Suite I, San Diego, CA 92106 | 2009-01-26 |
| 1215188362 | Jodi Lynn Ceballos | Psychologist | 2186 Historic Decatur Rd Unit 40, San Diego, CA 92106 | 2008-10-07 |
| Find all providers in zip 92106 | ||||
| Taxonomy Code | 1710I1003X |
| Grouping | Other Service Providers |
| Classification | Military Health Care Provider |
| Specialization | Independent Duty Medical Technicians |
| An Independent Duty Medical Technician (IDMT) is specially trained and educated to perform primary medical care, minor surgical services, and treatment of dental disorders for active duty military members in a variety of health care and non-health care settings worldwide under direct and indirect physician supervision. An IDMT may take medical histories, perform physical exams, order lab tests and x-rays, prescribe medications, and give immunizations. IDMTs work under the direct supervision of a physician preceptor when at home station and indirectly when assigned to a Mobile Aid Station, Mobile Medical Unit, remote site, or otherwise deployed specifically as an IDMT. An IDMT may be an experienced Aerospace Medical Service Technician who meets special task qualifications and is recommended for training by the Aerospace Medical Service Functional Manager at their Medical Treatment Facility. IDMTs maintain certification as Nationally Registered Emergency Medical Technicians and as Immunization Back-up Technicians. |
| Notes: Source: Air Force Surgeon General Office [7/1/2005: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093124398 | Benjamin Ryan Foy | Military Health Care Provider | 2784 Hornet Way, San Diego, CA 92106-6421 | 2014-08-12 |
| 1346552064 | Jeffrey Thomas Gilbert | Military Health Care Provider | 3841 Colina Dorado Dr, Apartment G108, San Diego, CA 92124 | 2010-07-10 |
| 1467674150 | John Dudley Harris Jr. | Military Health Care Provider | 33000 Nixie Way Bldg 50, San Diego, CA 92147-5101 | 2007-05-03 |
| 1730157736 | Alfredo Alcalaesparza | Military Health Care Provider | 2211 Pacific Beach Dr, San Diego, CA 92109-5626 | 2006-03-08 |
| 1447606322 | Jeffrey Tyler Whitson | Military Health Care Provider | 34101 Farenholt Ave, Building 14, San Diego, CA 92134-7000 | 2016-05-10 |
| 1497927404 | Keren Mireya Lemas | Military Health Care Provider | 2450 Craven St, San Diego, CA 92136-5599 | 2008-03-31 |
| 1689873192 | Keith Robert Davis | Military Health Care Provider | 140 Sylvester Rd, Uss Topeka (ssn 754) Fpo Ap 96679-2410, San Diego, CA 92106-3521 | 2007-07-13 |
| 1740481571 | Cindy S Cruzan | Military Health Care Provider | 34101 Farenholt Ave, San Diego, CA 92134-7000 | 2007-05-30 |
| 1932169380 | Shirley Hovlid | Military Health Care Provider | 2650 Stockton Rd, San Diego, CA 92106-6000 | 2006-03-27 |
| 1851368229 | Carlos M. Coleman | Military Health Care Provider | 34101 Farenholt Ave, Nshs-sd Idc Dept, San Diego, CA 92134-7000 | 2006-03-03 |
| Find all providers in SAN DIEGO | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.