GORDON M RICK (NPI# 1063683357) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1063683357 |
| Entity Type | Organization |
| Organization Name | GORDON M RICK |
| Other Organization Name | SCRIPPS ORAL PATHOLOGY SERVICE |
| Practice Address |
5190 Governor Dr Suite 106 San Diego CA 92122-2847 |
| Practice Telephone | 8587840600 |
| Practice Fax Number | 8587840604 |
| Mailing Telephone | 8587840600 |
| Mailing Fax Number | 8587840604 |
| Enumeration Date | 2008-03-14 |
| Last Update Date | 2013-06-03 |
| Authorized Official Name | DR. GORDON MARVIN RICK (OWNER/DIRECTOR) |
| Authorized Official Telephone | 8587840600 |
| Authorized Official Credential | DDS |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 291U00000X | Clinical Medical Laboratory | CLF11078 | CA | Laboratories |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | LAB43007F | 05 |
| Other Name | Type Code |
|---|---|
| Scripps Oral Pathology Service | Doing Business As Name - Organization |
| Street Address |
5190 GOVERNOR DR SUITE 106 |
| City | SAN DIEGO |
| State | CA |
| Zip Code | 92122-2847 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851392120 | Gloria Theresa Sigafoos | Physical Therapist | 5190 Governor Dr, #107, San Diego, CA 92122-2847 | 2005-08-09 |
| 1114375854 | Athena Taj | Marriage & Family Therapist | 5190 Governor Dr, Suite #104, San Diego, CA 92122-2847 | 2016-06-02 |
| 1346487386 | Bronwyn Groesbeck Spiegel | Marriage & Family Therapist | 5190 Governor Dr, Suite 104, San Diego, CA 92122-2847 | 2009-01-13 |
| 1568671741 | Patricia Ann Stanley | Marriage & Family Therapist | 5190 Governor Dr, Suite 104, San Diego, CA 92122-2847 | 2007-05-22 |
| 1194945212 | Caroline Scott Depottel | Psychologist | 5190 Governor Dr, Ste 102, San Diego, CA 92122-2848 | 2007-04-30 |
| 1679693550 | Gordon Marvin Rick | Dentist | 5190 Governor Dr, Suite 106, San Diego, CA 92122-2847 | 2007-04-02 |
| 1821126632 | Carolyn E. Hudson | Psychologist | 5190 Governor Dr, Suite 101, San Diego, CA 92122-2847 | 2007-03-01 |
| 1821138884 | Rebecca J Kenyon | Marriage & Family Therapist | 5190 Governor Dr, Suite #104, San Diego, CA 92122-2847 | 2007-02-07 |
| 1518012137 | John Joseph Perna | Psychologist | 5190 Governor Dr, Suite 101, San Diego, CA 92122-2847 | 2007-01-24 |
| 1356496343 | Psychological Professionals Incorporated | Psychologist | 5190 Governor Dr, Suite 101, San Diego, CA 92122-2847 | 2007-01-23 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912561630 | Neal Yacoo | Pharmacist | 9085 Judicial Drive #2137, San Diego, CA 92122 | 2019-04-29 |
| 1598242828 | Gena Rachel Katzer | Social Worker | 3246 Willard St, San Diego, CA 92122 | 2018-07-19 |
| 1164919791 | Janine Marie Battaglia | Nurse Practitioner | Scripps Health Express, 4350 La Jolla Villlage Drive Ste 130, San Diego, CA 92122 | 2018-04-19 |
| 1669991899 | Lindsay Y Ditmars | Pharmacist | 7545 Charmant Dr. #1322, 1322, San Diego, CA 92122 | 2017-09-19 |
| 1154747103 | Rebecca Jackson | Nurse Practitioner | 3655 Nobel Drive, Suite 660, Peak Health Solutions, San Diego, CA 92122 | 2014-03-14 |
| 1851726582 | Grace Lorelei Allen | Doula | 2728 Nansen Avenue, San Diego, CA 92122 | 2013-09-12 |
| 1427301894 | Barry Katzman, M.d., Inc., Apc | Optometrist | 4413 Lajolla Village Dr., Spc. P1, San Diego, CA 92122 | 2012-10-22 |
| 1912295361 | Yingjian Liang | Psychiatry & Neurology | Gillman Drive 9500, San Diego, CA 92122 | 2011-07-19 |
| 1467775486 | David Michael Trejo | Psychologist | 5080 Shoreham Place, Suite 103, San Diego, CA 92122 | 2010-03-04 |
| 1225369556 | Jeffrey J Abrams | Internal Medicine | 3395 Willard St, San Diego, CA 92122 | 2010-01-27 |
| Find all providers in zip 92122 | ||||
| Taxonomy Code | 291U00000X |
| Grouping | Laboratories |
| Classification | Clinical Medical Laboratory |
| (1) A clinical laboratory is a facility for the biological, microbiological, serological, chemical, immunohematological, hematological, biophysical, cytological, pathological, or other examination of materials derived from the human body for the purpose of providing information for the diagnosis, prevention, or treatment of any disease or impairment of, human beings. These examinations also include procedures to determine, measure, or otherwise describe the presence or absence of various substances or organisms in the body. Facilities only collecting or preparing specimens (or both) or only serving as a mailing service and not performing testing are not considered clinical laboratories. (2) Any facility that examines materials from the human body for purposes of providing information for the diagnosis, prevention, or treatment of any disease or impairment of, or the assessment of, the health of human beings. Typical divisions of a clinical laboratory include hematology, cytology, bacteriology, histology, biochemistry, medical toxicology, and serology. |
| Notes: Source: (1) Code of Federal Regulations #42, Public Health, Section 493.2. (2) ) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 186. |
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| 1720699705 | Mindera Corporation | Clinical Medical Laboratory | 5795 Kearny Villa Rd Ste 200, San Diego, CA 92123-1111 | 2020-08-12 |
| 1912521568 | Helix Opco, LLC | Clinical Medical Laboratory | 9875 Towne Centre Dr, San Diego, CA 92121-1975 | 2020-05-29 |
| 1952934556 | Family Fertility Cryobank | Clinical Medical Laboratory | 6699 Alvarado Rd Ste 2208, San Diego, CA 92120-5240 | 2020-02-21 |
| 1033741566 | Stratify Genomics | Clinical Medical Laboratory | 3525 Del Mar Heights Rd # 891, San Diego, CA 92130-2199 | 2020-02-12 |
| 1598260986 | H&m Molecular Diagnostics, LLC | Clinical Medical Laboratory | 10581 Roselle St Ste 120, San Diego, CA 92121-1521 | 2018-03-27 |
| 1790139061 | Epic Sciences, Inc. | Clinical Medical Laboratory | 9381 Judicial Dr, Suite 200, San Diego, CA 92121-3832 | 2016-04-22 |
| 1891152534 | Gensi | Clinical Medical Laboratory | 11125 Flintkote Ave, Suite J, San Diego, CA 92121-1213 | 2016-01-26 |
| 1427422526 | Illumina, Inc | Clinical Medical Laboratory | 5200 Illumina Way, San Diego, CA 92122-4616 | 2015-11-30 |
| 1427428069 | Applied Proteomics, Inc. | Clinical Medical Laboratory | 3545 John Hopkins Ct, Suite 150, San Diego, CA 92121-1112 | 2015-09-25 |
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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.