SANDRA CLARE HUDSON (NPI# 1023632023) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1023632023 |
| Entity Type | Individual |
| Full Name | SANDRA CLARE HUDSON |
| Credential | RN |
| Practice Address |
6991 Balboa Ave San Diego CA 92111-3447 |
| Practice Telephone | 8584968232 |
| Practice Fax Number | 8584968234 |
| Mailing Telephone | 8584968232 |
| Mailing Fax Number | 8584968234 |
| Enumeration Date | 2020-06-04 |
| Last Update Date | 2020-06-04 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 302F00000X | Exclusive Provider Organization | CCS00042F | CA | Managed Care Organizations |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043527377 | Sandra Ann Hudson | Pharmacist | 41 Westridge Market Pl, Candler, NC 28715-9174 | 2010-09-08 |
| 1851610067 | Sandra Hudson | Occupational Therapist | 5302 Janelle Dr, Killeen, TX 76549-5666 | 2010-05-27 |
| 1538202312 | Sandra Denise Hudson | Pharmacist | 2829 S Grand Ave, Los Angeles, CA 90007-3304 | 2007-02-14 |
| 1265459879 | Sandra G. Hudson | Nurse Practitioner | 5151 N 9th Ave # Er, Pensacola, FL 32504-8721 | 2006-07-17 |
| Street Address |
6991 BALBOA AVE |
| City | SAN DIEGO |
| State | CA |
| Zip Code | 92111-3447 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629020938 | Amy Nakatsuchi | Physical Therapist | 6991 Balboa Ave, San Diego, CA 92111-3447 | 2006-05-16 |
| 1194323121 | Ana Wong Pacis | Nurse Practitioner | 6991 Balboa Ave, San Diego, CA 92111-3447 | 2020-10-12 |
| 1821612748 | Ashley Marie Martin | Registered Nurse | 6991 Balboa Ave, San Diego, CA 92111-3447 | 2020-06-06 |
| 1376167387 | Nicole Diane Shy | Registered Nurse | 6991 Balboa Ave, San Diego, CA 92111-3447 | 2020-06-05 |
| 1437773306 | Marie Doherty | Registered Nurse | 6991 Balboa Ave, San Diego, CA 92111-3447 | 2020-06-05 |
| 1497379390 | Shiryn Rivo | Registered Nurse | 6991 Balboa Ave, San Diego, CA 92111-3447 | 2020-06-05 |
| 1073137139 | Sandra Lee Oswald | Registered Nurse | 6991 Balboa Ave, San Diego, CA 92111-3447 | 2020-06-04 |
| 1295359412 | Alicia Louise Began | Registered Nurse | 6991 Balboa Ave, San Diego, CA 92111-3447 | 2020-06-03 |
| 1497379812 | Valentine Daniele Aljabi | Registered Nurse | 6991 Balboa Ave, San Diego, CA 92111-3447 | 2020-06-01 |
| 1346864907 | Suzanne Webster-lowrie | Registered Nurse | 6991 Balboa Ave, San Diego, CA 92111-3447 | 2020-05-29 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982220653 | Karen Elizabeth Mitchell | Registered Nurse | County of San Diego California Children's Services (ccs, 6991 Balboa Ave, (room 70), San Diego, CA 92111 | 2020-06-18 |
| 1912523804 | Access Medical, Inc. | Durable Medical Equipment & Medical Supplies | 4150 Convoy Street, Suite A, San Diego, CA 92111 | 2020-06-17 |
| 1154944551 | Mei Ling Milan Szeto | Student in an Organized Health Care Education/Training Program | 7917 Ostrow Street, Suite A, San Diego, CA 92111 | 2020-05-20 |
| 1346893831 | Leticia Isabel Peralta | Assistant Behavior Analyst | 563 Balboa Avenue. Number 521, San Diego, CA 92111 | 2019-07-23 |
| 1295204394 | Demetria Serfas | Behavioral Analyst | 563 Balboa Ave #521, San Diego, CA 92111 | 2018-11-19 |
| 1568981678 | Ross Psychology | Psychologist | 4883 Ronson Court, Suite K, San Diego, CA 92111 | 2017-09-11 |
| 1225554587 | Bianca Acosta | Technician, Other | 563 Balboa Ave. #521, San Diego, CA 92111 | 2017-08-18 |
| 1194240085 | Kazuhiro Kato | Dentist | 3707 Convoy St., San Diego, CA 92111 | 2017-08-11 |
| 1073038527 | Joanne Epps-yentz | Licensed Vocational Nurse | 7414 Mesa College Dr. Apt 47, San Diego, CA 92111 | 2017-08-06 |
| 1184158446 | Positive Behavior Supports Corp | Community/Behavioral Health | 563 Balboa Ave, 521, San Diego, CA 92111 | 2017-04-13 |
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| Taxonomy Code | 302F00000X |
| Grouping | Managed Care Organizations |
| Classification | Exclusive Provider Organization |
| (1) An EPO is a form of PPO, in which patients must visit a caregiver that is specified on its panel of providers (is a participating provider). If a visit to an outside(not participating) provider is made the EPO offers very limited or no coverage for the medical service; (2) While similar to a PPO in that an EPO allows patients to go outside the network for care, if they do so in an EPO, they are required to pay the entire cost of care. An EPO differs from an HMO in that EPO physicians do not receive capitation but instead are reimbursed only for actual services provided; (3) An organization identical to a preferred provider organization except that persons enrolled in the plan are eligible to receive benefits only when they use the services of the contracting providers. No benefits are available when non-contracting providers are used, except in certain emergency situations. |
| Notes: Source: (1) Medical Interface: Managed Care A thru Z- Managed Care Terms published by Medicom International, Bronxville, New York Telephone (914) 337-5023, p. 15; (2) "Glossary of terms used in managed care" Developed by the Managed Care Assembly (MCA) of Medical Group Management Association (MGMA), MGM Journal, September/October 1995, p. 58; (3) Rhea, Ott, and Shafritz, The Facts On File Dictionary of Health Care Management, New York: Facts On File Publications, 1988. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538512744 | Azila Katherine Sabile Ortiz | Exclusive Provider Organization | 15260 Amalia St, San Diego, CA 92129-1228 | 2016-07-22 |
| 1992044036 | Reza Kasiri | Exclusive Provider Organization | 6755 Mira Mesa Blvd Ste 218, San Diego, CA 92121-4311 | 2013-02-09 |
| 1023103595 | County of San Diego | Exclusive Provider Organization | 1110 Carolina Lane, San Diego, CA 92102 | 2006-10-03 |
| 1356434112 | County of San Diego | Exclusive Provider Organization | 6991 Balboa Avenue, San Diego, CA 92111 | 2006-10-02 |
| 1609328368 | Robert M. Howard Optometrist Inc | Exclusive Provider Organization | 8022 Clairemont Mesa Blvd, San Diego, CA 92111-1615 | 2016-10-28 |
| 1598112708 | Ngk Corporation Dba Assisting Hands of San Diego | Exclusive Provider Organization | 16870 W Bernardo Dr Ste 400, San Diego, CA 92127-1678 | 2016-05-17 |
| 1821469347 | Kara Dodds and Associates | Exclusive Provider Organization | 7840 Mission Center Ct Ste 200, San Diego, CA 92108-1320 | 2015-10-09 |
| 1942620463 | Gastroenterology and Hepatology Medical Associates | Exclusive Provider Organization | 4060 Fourth Ave, Suite 240, San Diego, CA 92103-2116 | 2014-04-23 |
| 1952646697 | Fashion Valley Clinic | Exclusive Provider Organization | 7020 Friars Rd, San Diego, CA 92108-1126 | 2012-12-06 |
| 1932471125 | Richard L.kornberg, M.d.a Professional Corporation | Exclusive Provider Organization | 110 W Pennsylvania Ave, San Diego, CA 92103-4016 | 2012-02-02 |
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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.