MARILYN STAROBA JOHNSON (NPI# 1073557708) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1073557708 |
| Entity Type | Individual |
| Full Name | MARILYN STAROBA JOHNSON |
| Credential | P.T. |
| Practice Address |
5030 Camino De La Siesta Ste 220 San Diego CA 92108-3118 |
| Practice Telephone | 6192600750 |
| Practice Fax Number | 6192600201 |
| Mailing Telephone | 6192600750 |
| Mailing Fax Number | 6192600201 |
| Enumeration Date | 2006-06-15 |
| Last Update Date | 2014-08-13 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2251X0800X |
Physical Therapist Specialization: Orthopedic |
PT12294 | CA | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184162554 | Marilyn Johnson | Case Manager/Care Coordinator | 9245 Wallace Lake Rd Ste A, Shreveport, LA 71106 | 2017-02-06 |
| 1700175072 | Marilyn Elizabeth Johnson | Physical Therapy Assistant | 2525 Sw 75 Avenue, Miami, FL 33155 | 2011-04-07 |
| 1992031033 | Marilyn Johnson | Chiropractor | 1911 Lake Ave, Altadena, CA 91001-3037 | 2009-10-25 |
| 1932601044 | Marilyn J. Johnson | Counselor | 132 Riverview Dr Ste B, Flowood, MS 39232-8924 | 2018-03-05 |
| 1720595838 | Marilyn Michele Johnson | Case Manager/Care Coordinator | 911 Sycamore St, Cincinnati, OH 45202-1318 | 2018-01-10 |
| 1841664893 | Marilyn Johnson | Behavioral Analyst | 6330 Mcleod Dr Ste 3, Las Vegas, NV 89120-4431 | 2015-11-13 |
| 1326437773 | Marilyn Johnson | Clinic/Center | 1642 W Avenue J, Lancaster, CA 93534-2814 | 2015-01-22 |
| 1972904696 | Marilyn Molly Johnson | Registered Nurse | 1835 Franklin St, Denver, CO 80218-1126 | 2014-09-12 |
| 1811234701 | Marilyn Little Johnson | Speech-Language Pathologist | 5330 Raeford Rd, Fayetteville, NC 28304-3074 | 2013-01-11 |
| 1346531688 | Marilyn Faye Johnson | Speech-Language Pathologist | 10450 Brian Mooney Ave, El Paso, TX 79935-2809 | 2011-04-20 |
| Street Address |
5030 CAMINO DE LA SIESTA STE 220 |
| City | SAN DIEGO |
| State | CA |
| Zip Code | 92108-3118 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144852724 | Joseph Wong | Physical Therapist | 5030 Camino De La Siesta Ste 220, San Diego, CA 92108-3118 | 2020-02-11 |
| 1154896041 | Monique Marie Lassaga-bishop | Physical Therapist | 5030 Camino De La Siesta Ste 220, San Diego, CA 92108-3118 | 2018-10-08 |
| 1629584263 | Justin Brady Lalonde | Physical Therapist | 5030 Camino De La Siesta Ste 220, San Diego, CA 92108-3118 | 2017-12-19 |
| 1780087361 | Kimberly Wolery | Physical Therapist | 5030 Camino De La Siesta Ste 220, San Diego, CA 92108-3118 | 2014-09-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952902801 | Keri Castaneda | Behavior Technician | 025 Camino Del Rio South Suite 101, San Diego, CA 92108 | 2020-11-06 |
| 1457963738 | Diyana Giorgees | Case Manager/Care Coordinator | 5005 Texas Street, St. 203, San Diego, CA 92108 | 2020-08-19 |
| 1780211896 | Lori Mildred Jerman | Marriage & Family Therapist | Healthy Minds Counseling Services, 1455 Frazee Road, Suite 880, San Diego, CA 92108 | 2020-03-26 |
| 1285260737 | Demetrius Anderson | Counselor | Telecare Corporation Ihot, 1660 Hotel Circle North, Suite 101, San Deigo, CA 92108 | 2020-03-17 |
| 1033742465 | Dasc Medical Inc | Durable Medical Equipment & Medical Supplies | 5520 Gill Village Way, 907, San Diego, CA 92108 | 2020-02-13 |
| 1508401092 | Chanda Denee Kizer | Marriage & Family Therapist | 3517 Camino Del Rio N, Suite 407, San Diego, CA 92108 | 2019-11-08 |
| 1225695562 | Jenna Rose Shurer | Nurse Practitioner | 5030 Camino De La Siesla Ste 106, San Diego, CA 92108 | 2019-05-22 |
| 1952967812 | Martha Kebede Mekonen | Chiropractor | 2667 Camino Del Rio South, Suite #313, San Diego, CA 92108 | 2019-05-16 |
| 1053886135 | Andrea Jiselly Munoz | Behavior Technician | 3505 Camino Del Rio South, Suite 200, San Diego, CA 92108 | 2018-10-04 |
| 1386128916 | Sarah Elisabeth Smith | Counselor | 7575 Metropolitan Dr., San Diego, CA 92108 | 2018-09-19 |
| Find all providers in zip 92108 | ||||
| Taxonomy Code | 2251X0800X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Physical Therapist |
| Specialization | Orthopedic |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033732250 | Sync Physical Therapy & Yoga Inc | Physical Therapist | 5100 Marlborough Dr Ste 101, San Diego, CA 92116-2020 | 2020-05-21 |
| 1710532726 | Katherine Dever Jones | Physical Therapist | 7625 Mesa College Dr # 101a, San Diego, CA 92111-5343 | 2019-08-06 |
| 1437711082 | Garrett Kale | Physical Therapist | 9333 Genesee Ave # 350a, San Diego, CA 92121-2111 | 2019-07-03 |
| 1467946921 | Meredith Claire Haeuptle | Physical Therapist | 7625 Mesa College Dr Ste 101a, San Diego, CA 92111-5343 | 2018-06-19 |
| 1407362650 | Chelsea Boomer | Physical Therapist | 6475 Alvarado Rd Ste 118, San Diego, CA 92120-5007 | 2017-12-26 |
| 1679018675 | Julie Woolridge | Physical Therapist | 295 G Street, San Diego, CA 92101-4633 | 2016-12-29 |
| 1710351747 | Jonathan Pe | Physical Therapist | 18109 Smokesignal Dr, San Diego, CA 92127-3108 | 2015-11-13 |
| 1801295332 | Julie Guerin | Physical Therapist | 17860 Main, San Diego, CA 92177-7860 | 2014-08-20 |
| 1811330400 | Keith Mahler Physical Therapist & Associates | Physical Therapist | 7801 Mission Center Ct Ste 430, San Diego, CA 92108-1332 | 2013-04-12 |
| 1720337660 | Jenna Marie Kempf | Physical Therapist | 2555 Camino Del Rio South, 102, San Diego, CA 92108 | 2012-09-06 |
| Find all providers in SAN DIEGO | ||||
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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.