DR. KATE ANNA HAGGERTY (NPI# 1083928337) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1083928337 |
| Entity Type | Individual |
| Full Name | DR. KATE ANNA HAGGERTY |
| Other Name | DR. KATE ANNA PETTIGREW |
| Credential | M.D. |
| Practice Address |
400 Craven Rd San Marcos CA 92078-4201 |
| Mailing Address |
400 Craven Road San Marcos CA 92078 |
| Practice Telephone | 8002905000 |
| Mailing Telephone | 8002905000 |
| Enumeration Date | 2010-07-28 |
| Last Update Date | 2015-05-04 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2083P0901X |
Preventive Medicine Specialization: Public Health & General Preventive Medicine |
A118728 | CA | Allopathic & Osteopathic Physicians |
| N | 208D00000X | General Practice | A118728 | CA | Allopathic & Osteopathic Physicians |
| Street Address |
400 CRAVEN RD |
| City | SAN MARCOS |
| State | CA |
| Zip Code | 92078-4201 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619975232 | Benny Joe Martin | Family Medicine | 400 Craven Rd, San Marcos, CA 92078-4201 | 2005-07-08 |
| 1154804250 | Kelly Nicholas | Respiratory Therapist, Registered | 400 Craven Rd, San Marcos, CA 92078-4201 | 2018-09-13 |
| 1154809978 | Cassandra Evette Roberts | Respiratory Therapist, Registered | 400 Craven Rd, San Marcos, CA 92078-4201 | 2018-08-02 |
| 1023596442 | Jennifer Alexander | Respiratory Therapist, Certified | 400 Craven Rd, San Marcos, CA 92078-4201 | 2018-07-30 |
| 1639681034 | Alyssa Maples | Physical Therapist | 400 Craven Rd, San Marcos, CA 92078-4201 | 2017-10-25 |
| 1649727470 | Oliver Marselo Fregoso | Technician, Other | 400 Craven Rd, San Marcos, CA 92078-4201 | 2016-09-09 |
| 1487013595 | Jacqueline Bui | Pharmacist | 400 Craven Rd, San Marcos, CA 92078-4201 | 2016-02-17 |
| 1457710758 | Nikki Pham | Pharmacist | 400 Craven Rd, San Marcos, CA 92078-4201 | 2016-02-15 |
| 1356709364 | Mydung Duong | Pharmacist | 400 Craven Rd, San Marcos, CA 92078-4201 | 2016-02-04 |
| 1073991261 | Tracy M Abrams | Registered Nurse | 400 Craven Rd, Surgery Center, Building 4, San Marcos, CA 92078-4201 | 2015-05-08 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437623253 | Tania Borja-rodriguez | Nurse Practitioner | 334 Via Vera Cruz #257, San Marcos, CA 92078 | 2019-01-15 |
| 1558846824 | Mckenzie Daile Sorensen | Dentist | 145 S Las Posas Rd Ste 162, San Marcos, CA 92078 | 2018-10-02 |
| 1548750169 | West2north Medical Solutions Inc | Physical Medicine & Rehabilitation | 1595 Grand Ave Ste 100, San Marcos, CA 92078 | 2018-05-18 |
| 1700385747 | Wytoshery Monea Williams | Nurse Practitioner | 1912 Northstar Way, 130, San Marcos, CA 92078 | 2018-02-05 |
| 1457878415 | Smile Community Clinic Inc | Dentist | 670 W. San Marcos Blvd. Ste 103-b, San Marcos, CA 92078 | 2017-08-29 |
| 1740636232 | Ethelaine Centeno | Occupational Therapist | 1615 S. Rancho Santa Fe Road, San Marcos, CA 92078 | 2016-05-13 |
| 1336506203 | Nga Thien Ta | Pharmacist | 671 Rancho Santa Fe, San Marcos, CA 92078 | 2016-01-24 |
| 1689039349 | Kayleigh Ann Desrosiers | Physical Therapist | 137 S Las Posas Rd Ste 254, San Marcos, CA 92078 | 2015-12-23 |
| 1821475930 | Anna Yu | Social Worker | 310 S. Twin Oaks Valley Rd., #107-381, San Marcos, CA 92078 | 2015-04-28 |
| 1831582592 | Bewell Home Physical Therapy P C | Clinic/Center | 1582 W San Marcos Blvd Ste 105b, San Marcos, CA 92078 | 2015-03-05 |
| Find all providers in zip 92078 | ||||
| Taxonomy Code | 2083P0901X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Preventive Medicine |
| Specialization | Public Health & General Preventive Medicine |
| Public health and general preventive medicine focuses on promoting health, preventing disease, and managing the health of communities and defined populations. These practitioners combine population-based public health skills with knowledge of primary, secondary, and tertiary prevention-oriented clinical practice in a wide variety of settings. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Preventive Medicine, 2007. http://www.abprevmed.org/. American Osteopathic Board of Preventive Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Preventive Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Preventive Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679668297 | Karen D Nicholson | Preventive Medicine | 333 S. Twin Oaks Valley Rd, Cal State San Marcos Shcs, San Marcos, CA 92096-0001 | 2006-10-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710592126 | Best Healthcare Access | Preventive Medicine | 3218 E Holt Ave Ste 201a, West Covina, CA 91791-2310 | 2020-09-11 |
| 1134739642 | Wellcentrex LLC | Preventive Medicine | 4590 Macarthur Blvd Ste 500, Newport Beach, CA 92660-2028 | 2020-08-10 |
| 1548870926 | Sofia Lucha Robles Castillo | Preventive Medicine | 9616 Micron Ave Ste 670, Sacramento, CA 95827-2699 | 2020-07-31 |
| 1972124485 | Douglas L Hatch | Preventive Medicine | 680 Talbot Ave, Pacifica, CA 94044-2650 | 2020-05-06 |
| 1154959138 | Jaime Renee Reise | Preventive Medicine | 8358 Santa Monica Blvd, West Hollywood, CA 90069-4313 | 2020-03-27 |
| 1861024515 | Another Way 2 LLC | Preventive Medicine | 3840 Lemon St, Riverside, CA 92501-3693 | 2020-02-11 |
| 1275186793 | Thinknetic Medical Corporation | Preventive Medicine | 1950 S Sunwest Ln Ste 108, San Bernardino, CA 92408-3263 | 2019-07-23 |
| 1396306650 | Ankush Raj Gaur | Preventive Medicine | 21303 Oakriver Ln, Newhall, CA 91321-4679 | 2019-06-26 |
| 1982167565 | Kristina Deguzman | Preventive Medicine | 9616 Micron Ave Ste 970, Sacramento, CA 95827-2627 | 2019-04-10 |
| 1760940902 | Taby Corp. | Preventive Medicine | 73710 Alessandro Dr Ste A1, Palm Desert, CA 92260-3638 | 2019-03-06 |
| Find all providers with the same taxonomy | ||||
| City | SAN MARCOS |
| Zip Code | 92078 |
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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.