ANDREA BOETTCHER (NPI# 1073161329) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1073161329 |
| Entity Type | Individual |
| Full Name | ANDREA BOETTCHER |
| Credential | NP |
| Practice Address |
7901 Frost St San Diego CA 92123-2701 |
| Mailing Address |
3075 Health Center Dr Ste 101 San Diego CA 92123-2773 |
| Practice Telephone | 8589393400 |
| Mailing Telephone | 8589393831 |
| Mailing Fax Number | 8586362901 |
| Enumeration Date | 2019-08-29 |
| Last Update Date | 2019-08-29 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RA0001X |
Internal Medicine Specialization: Advanced Heart Failure and Transplant Cardiology |
95012551 | CA | Allopathic & Osteopathic Physicians |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 3075 Health Center Dr Ste 101, San Diego, CA 921232773 | 8589393831 | 8586362901 |
| Street Address |
7901 FROST ST |
| City | SAN DIEGO |
| State | CA |
| Zip Code | 92123-2701 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730176785 | Kristine Lynn Ortiz | Nurse Practitioner | 7901 Frost St, Sharp Memorial Hospital Cardiac Transplant Department, San Diego, CA 92123-2701 | 2005-10-04 |
| 1780285650 | Michelle Aubrey Hawkes | Nurse Practitioner | 7901 Frost St, San Diego, CA 92123-2701 | 2020-11-05 |
| 1144830548 | Erin Stiefel | Nurse Practitioner | 7901 Frost St, San Diego, CA 92123-2701 | 2020-07-31 |
| 1043832314 | Sharan Dhoot | Pharmacist | 7901 Frost St, San Diego, CA 92123-2701 | 2020-05-10 |
| 1295375079 | Natsurang Chong Corporation | Internal Medicine | 7901 Frost St, San Diego, CA 92123-2701 | 2020-01-09 |
| 1790337368 | Sarah Norwid | Nurse Practitioner | 7901 Frost St, San Diego, CA 92123-2701 | 2019-07-12 |
| 1235629296 | Celeste Briones | Pharmacist | 7901 Frost St, San Diego, CA 92123-2701 | 2018-05-15 |
| 1952818601 | Jessica J Reyes | Nurse Practitioner | 7901 Frost St, San Diego, CA 92123 | 2018-01-03 |
| 1255846341 | Bradley Iannucci | Licensed Vocational Nurse | 7901 Frost St, San Diego, CA 92123-2701 | 2017-12-11 |
| 1265957500 | Mary Elizabeth Burwell | Nurse Practitioner | 7901 Frost St, San Diego, CA 92123-2701 | 2017-08-08 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669087326 | Corina Lozano Manzo | Registered Nurse | 7436 Mission Center Road, San Diego, CA 92123 | 2020-09-10 |
| 1831703537 | Shannon Leigh Doolittle | Audiologist | 3020 Children's Way Mc5010, San Diego, CA 92123 | 2020-09-01 |
| 1861014359 | Ha Thanh Truong | Pharmacist | Rezcare, 3821 Calle Fortunada, San Diego, CA 92123 | 2020-05-07 |
| 1023667136 | Brittany Meyer | Physical Therapist | 3020 Children's Waymc5068, San Diego, CA 92123 | 2019-09-11 |
| 1598313272 | Ryan Edward Shaw | Marriage & Family Therapist | 8910 Clairmont Mesa Blvd, San Diego, CA 92123 | 2019-08-27 |
| 1528611910 | Tanisha C Fulcher | Marriage & Family Therapist | 8825 Aero Dr., Ste 315, San Diago, CA 92123 | 2019-07-24 |
| 1245795665 | Robin James Pekin | Marriage & Family Therapist | 4450 Kearny Villa Rd, #116, San Diego, CA 92123 | 2019-02-11 |
| 1174093728 | Karen Vences | Counselor | 8755 Aero Dr Suite 230, San Diego, CA 92123 | 2018-11-27 |
| 1255808465 | Natasha Herrera | Counselor | 2801 Meadow Lark Dr, San Diego, San Diego, CA 92123 | 2018-10-25 |
| 1407321987 | Maneka Elikewela | Behavior Technician | 3934 Murphy Canyon Rd, Ste B202, San Diego, CA 92123 | 2018-10-10 |
| Find all providers in zip 92123 | ||||
| Taxonomy Code | 207RA0001X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Advanced Heart Failure and Transplant Cardiology |
| Specialists in Advanced Heart Failure and Transplant Cardiology would participate in the inpatient and outpatient management of patients with advanced heart failure across the spectrum from consideration for high-risk cardiac surgery, cardiac transplantation, or mechanical circulatory support, to pre-and post-operative evaluation and management of patients with cardiac transplants and mechanical support devices, and end-of-life care for patients with end-stage heart failure. |
| Notes: Source: American Board of Internal Medicine, www.abim.org [7/1/2015: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063701068 | Nicholas William Wettersten | Internal Medicine | 200 W Arbor Dr, San Diego, CA 92103 | 2011-03-31 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386162949 | Faculty Physicians and Surgeons of Llusm | Internal Medicine | 197 E Caroline St, San Bernardino, CA 92408 | 2017-09-05 |
| 1285722686 | Anita Dominique Szady | Internal Medicine | 2 Bon Air Rd Ste 100, Larkspur, CA 94939-1144 | 2006-10-11 |
| 1124681887 | Victoria L Bazanos | Internal Medicine | 11234 Anderson St, Schuman Pavilion Sp-1617, Loma Linda, CA 92354 | 2019-04-18 |
| 1720346240 | Behram Parvez Mody | Internal Medicine | 333 City Blvd W Ste 400, Orange, CA 92868-2994 | 2012-05-03 |
| 1346515442 | Kimberly N Hong | Internal Medicine | 9434 Medical Center Dr, La Jolla, CA 92037-1337 | 2012-03-21 |
| 1417186438 | Nancy Luo | Internal Medicine | 3939 J St Ste 230, Sacramento, CA 95819 | 2009-07-12 |
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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.