ELAINE ROSE OCAMPO (NPI# 1063856805) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1063856805 |
| Entity Type | Individual |
| Full Name | ELAINE ROSE OCAMPO |
| Credential | NURSE PRACTITIONER |
| Practice Address |
4290 Polk Avenue San Diego CA 92105-1524 |
| Practice Telephone | 6195630507 |
| Practice Fax Number | 6195630015 |
| Mailing Telephone | 6195630507 |
| Mailing Fax Number | 6195630015 |
| Enumeration Date | 2013-04-23 |
| Last Update Date | 2016-02-16 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 163WP0808X |
Registered Nurse Specialization: Psych/Mental Health |
713306 | CA | Nursing Service Providers |
| Y | 363LP0808X |
Nurse Practitioner Specialization: Psych/Mental Health |
95003427 | CA | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
4290 POLK AVENUE |
| City | SAN DIEGO |
| State | CA |
| Zip Code | 92105-1524 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710932876 | Sheryl Lynn Parker | Registered Nurse | 4290 Polk Avenue, San Diego, CA 92105-1524 | 2006-05-24 |
| 1770893620 | Paula Elaine Engel | Registered Nurse | 4290 Polk Avenue, San Diego, CA 92105-1524 | 2010-10-13 |
| 1376851378 | Tammie L Goulart | Registered Nurse | 4290 Polk Avenue, San Diego, CA 92105-1524 | 2010-09-24 |
| 1366768525 | Jillion T. Harris | Family Medicine | 4290 Polk Avenue, San Diego, CA 92105-1524 | 2010-04-13 |
| 1659609600 | Thanh Lam Nguyen | Registered Nurse | 4290 Polk Avenue, San Diego, CA 92105-1524 | 2009-12-03 |
| 1013245067 | Linnea Belle Daley | Registered Nurse | 4290 Polk Avenue, San Diego, CA 92105-1524 | 2009-12-03 |
| 1780816082 | Amelia Shamsi Polheber | Nurse Practitioner | 4290 Polk Avenue, San Diego, CA 92105-1524 | 2009-08-20 |
| 1922237809 | Shawna Akiko Hirata Johnson | Nurse Practitioner | 4290 Polk Avenue, San Diego, CA 92105 | 2009-07-13 |
| 1114177060 | Sharon Elizabeth Aswegan | Registered Nurse | 4290 Polk Avenue, San Diego, CA 92105-1524 | 2008-09-29 |
| 1598911315 | Grace Jialin Ning | Counselor | 4290 Polk Avenue, San Diego, CA 92105-1524 | 2008-08-12 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851934798 | Point Loma Nazarene University | Nurse Practitioner | Point Loma Nazarene University Health Promotion Center, 4101 University Avenue, San Diego, CA 92105 | 2019-10-23 |
| 1104478809 | Kristin Lynn Nichols | Counselor | 4823 El Cajon Blvd Suite #115, San Diego, CA 92105 | 2019-07-12 |
| 1205343076 | Momentum Learning | Counselor | 3720 El Cajon Blvd., Sd, CA 92105 | 2018-01-03 |
| 1306352695 | Nathan Hien Le, Dds. Inc | Dentist | 4170 Fairmount Ave., San Diego, CA 92105 | 2017-12-21 |
| 1073038071 | Aika Mary Erlandson | Student in an Organized Health Care Education/Training Program | 5296 University Ave. Suite F-2, San Diego, CA 92105 | 2017-08-10 |
| 1457872178 | Ride-in Transport LLC | Non-emergency Medical Transport (VAN) | 4061 Fairmount Ave, San Diego, CA 92105 | 2017-07-03 |
| 1598205346 | Ahmed Mooge | Ambulance | 4061 Fairmout Ave, San Diego, CA 92105 | 2017-02-27 |
| 1083152748 | Rady Childrens Hospital-san Diego | Psychiatric Unit | 4305 University Avenue, Suite 150, San Diego, CA 92105 | 2017-02-02 |
| 1730634098 | Med Specialty Sai Inc. | Pharmacy | 4153 University Avenue, Suite B, San Diego, CA 92105 | 2016-08-16 |
| 1568857464 | Dr. Jeffrey A. Saladin, Dental Corporation | Dentist | 4074 Fairmount Avenue, Suite B, San Diego, CA 92105 | 2015-03-30 |
| Find all providers in zip 92105 | ||||
| Taxonomy Code | 363LP0808X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Psych/Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609431196 | Tanya Denise Stevenson-gaines | Nurse Practitioner | 13988 Royal Melbourne Sq, San Diego, CA 92128-3646 | 2019-05-09 |
| 1457788598 | Christopher John Reddin | Nurse Practitioner | Naval Medical Center San Diego C I D, 34800 Bob Wilson Drive, San Diego, CA 92134-0001 | 2013-10-03 |
| 1356650634 | Jamie M Sorenson | Nurse Practitioner | Center Star Act Mental Health Systems, 4283 El Cajon Blvd, Suite 115, San Diego, CA 92105-0001 | 2010-10-04 |
| 1023345204 | Nelda K. Coleman | Nurse Practitioner | 4715 Viewridge Avenue, Suite 230, San Diego, CA 92123 | 2009-11-10 |
| 1972506483 | Steven G Hogan | Nurse Practitioner | 8810 Rio San Diego Dr, San Diego, CA 92108-1698 | 2005-05-30 |
| 1396358024 | Stephanie Joyce Reed | Nurse Practitioner | 2630 1st Ave, San Diego, CA 92103-6599 | 2020-08-24 |
| 1104442185 | Joshua Don Dougherty | Nurse Practitioner | 1550 Hotel Cir N Ste 450, San Diego, CA 92108-2933 | 2020-06-24 |
| 1801422258 | Safiya Damali Daley | Nurse Practitioner | 1675 Morena Blvd, San Diego, CA 92110-3703 | 2020-03-17 |
| 1083247779 | Fernando Ebeo Serrano Jr. | Nurse Practitioner | 3491 Kurtz St Ste 150, San Diego, CA 92110-4430 | 2020-02-20 |
| 1538790605 | Kat Tupas Balingit | Nurse Practitioner | 140 Arbor Dr, San Diego, CA 92103-2007 | 2020-01-28 |
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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.