FIT ATHLETIC SOLANA BEACH LLC (NPI# 1053845578) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1053845578 |
| Entity Type | Organization |
| Organization Name | FIT ATHLETIC SOLANA BEACH LLC |
| Practice Address |
511 S Highway 101 Solana Beach CA 92075-2211 |
| Practice Telephone | 8587924008 |
| Mailing Telephone | 8587924008 |
| Enumeration Date | 2017-04-12 |
| Last Update Date | 2017-04-12 |
| Authorized Official Name | CHAD SHAW (GENERAL MANAGER) |
| Authorized Official Telephone | 8586754480 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208D00000X | General Practice | Allopathic & Osteopathic Physicians |
| Street Address |
511 S HIGHWAY 101 |
| City | SOLANA BEACH |
| State | CA |
| Zip Code | 92075-2211 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669092490 | Tara Tryphena Steinke | Naturopath | 124 Lomas Santa Fe Dr Ste 20b, Encinitas, CA 92075 | 2020-04-22 |
| 1336782085 | Jeremy Tiefenbrun | Behavior Technician | 992 1 C Lomas Santa Fe Dr Pmb 291, Solana Beach, CA 92075 | 2019-10-25 |
| 1851827927 | Amelia Rose Clark | Physician Assistant | 437 S. Highway 101 Suite 217, Solana Beach, CA 92075 | 2017-05-10 |
| 1518348317 | Kelly Pounds | Counselor | 2101 East First Street, Santa Ana, CA 92075 | 2015-06-17 |
| 1295114908 | Synapse Hearing Health, Inc. | Audiologist | 991 Lomas Santa Fe Drive, Suite A, Solana Beach, CA 92075 | 2015-05-27 |
| 1619381464 | Michael David Leiderman | Community Health Worker | 309 N Solana Hills Drive Apt #95, Solana Beach, CA 92075 | 2014-06-19 |
| 1881932879 | Edward S. Loh | Urology | 775 Beachfront Dr., Solana Beach, CA 92075 | 2013-01-25 |
| 1093076135 | Jodi Lee Abramowitz | Psychologist | 115 W Plaza St Ste 200, Solana Beach, CA 92075 | 2012-06-05 |
| 1710297692 | Aliza Danielle Cicerone | Naturopath | 124 Lomas Santa Fe Drive, Suite 206, Solana Beach, CA 92075 | 2010-10-13 |
| 1518273309 | Martin Landau-north | Marriage & Family Therapist | 731 South Highway 101, Suite 2j, Solana Beach, CA 92075 | 2010-08-31 |
| Find all providers in zip 92075 | ||||
| Taxonomy Code | 208D00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | General Practice |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538499975 | Julie Mai | General Practice | 107 N Acacia Ave, Solana Beach, CA 92075-1103 | 2010-01-07 |
| 1578617205 | Benedicto Gaona Masilungan | General Practice | 509 So Cedros Ave, #a, Solana Beach, CA 92075 | 2007-01-22 |
| 1952464851 | Frederick Alexander Augusta | General Practice | 100 Pacific Ave, Solana Beach, CA 92075-1144 | 2006-12-19 |
| 1255306395 | Kamyar Hedayat | General Practice | 512 Via De La Valle, Ste 101, Solana Beach, CA 92075-2751 | 2006-02-22 |
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|---|---|---|---|---|
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| 1598362709 | Afua Takyi | General Practice | 1555 River Park Dr Ste 211, Sacramento, CA 95815-4604 | 2020-10-01 |
| 1316553530 | Kimberly Ann Callaway | General Practice | 4893 Drakewood Ter, San Diego, CA 92130-1406 | 2020-09-22 |
| 1376156109 | Gtl Medical Group Inc | General Practice | 14555 Hamlin St Ste 107, Van Nuys, CA 91411-1617 | 2020-08-31 |
| 1922611896 | Daniel Lynn Johnson | General Practice | 74075 El Paseo Ste B2, Palm Desert, CA 92260-4118 | 2020-08-28 |
| 1235755299 | Hofmeister Medical, PC | General Practice | 31735 Riverside Dr Ste K, Lake Elsinore, CA 92530-7816 | 2020-06-24 |
| 1033733779 | South Bay Regenerative Medical Spa Inc | General Practice | 412 S Pacific Coast Hwy Ste 100, Redondo Beach, CA 90277-3712 | 2020-05-28 |
| 1568085041 | Integrated Advanced Medicine Inc | General Practice | 210 S Grand Ave Ste 408, Glendora, CA 91741-4282 | 2020-05-19 |
| Find all providers with the same taxonomy | ||||
| City | SOLANA BEACH |
| Zip Code | 92075 |
Please comment or provide details below to improve the information on FIT ATHLETIC SOLANA BEACH LLC.
| 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.