MR. KEVIN MCCARTHY (NPI# 1093946287) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1093946287 |
Entity Type | Individual |
Full Name | MR. KEVIN MCCARTHY |
Practice Address |
1 Grand Ave San Luis Obispo CA 93407-0210 |
Practice Telephone | 8057561211 |
Mailing Telephone | 8057561211 |
Enumeration Date | 2009-08-05 |
Last Update Date | 2010-03-12 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 208D00000X | General Practice | PA10993 | CA | Allopathic & Osteopathic Physicians |
State | Issuer | Identifier | Type Code |
---|---|---|---|
CA | DEA | MM1951323 | 01 |
CA | STATE LICENSE | PA10993 | 01 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1003315169 | Kevin Mccarthy | Occupational Therapist | 19312 Sonoma Hwy, Ste B Sonoma, Sonoma, CA 95476 | 2018-02-05 |
1619129087 | Kevin Mccarthy | Student in an Organized Health Care Education/Training Program | 1031 Bonair Drive, Williamsport, PA 17701 | 2008-10-16 |
1922210103 | Kevin J. Mccarthy | Clinical Neuropsychologist | 415 W Canal St, Picayune, MS 39466-3912 | 2007-05-03 |
1508907817 | Kevin Richard Mccarthy | Chiropractor | 304 W Northridge Ln, Peoria, IL 61614-4958 | 2007-02-09 |
1588638761 | Kevin C. Mccarthy | Internal Medicine | 419 Holiday Court, Suite 100, Warrenton, VA 20186 | 2006-02-15 |
1518581925 | Kevin Mccarthy | Nurse Anesthetist, Certified Registered | 2095 Henry Tecklenburg Dr, Charleston, SC 29414-5733 | 2020-06-01 |
1366936940 | Kevin Mccarthy Jr. | Case Manager/Care Coordinator | 183 S Orange Ave, Newark, NJ 07103-2757 | 2018-06-18 |
1730560897 | Kevin Mccarthy | Counselor | 332 Birnie Ave, Springfield, MA 01107-1104 | 2015-06-15 |
1184004426 | Kevin John Mccarthy | Counselor | 173 Chelsea St, Everett, MA 02149-4632 | 2015-06-02 |
1174924146 | Kevin Mccarthy | Social Worker | 1333 Brewery Park Blvd, Detroit, MI 48207-4544 | 2014-09-10 |
Street Address |
1 GRAND AVE |
City | SAN LUIS OBISPO |
State | CA |
Zip Code | 93407-0210 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1972561728 | Keri Ann Eichenberger | Specialist/Technologist | 1 Grand Ave, Cp Athletics, San Luis Obispo, CA 93401 | 2006-05-02 |
1003300153 | Jay Bettergarcia | Psychologist | 1 Grand Ave, San Luis Obispo, CA 93407-9000 | 2018-06-20 |
1427427749 | Carol Anne Freeman | Nurse Practitioner | 1 Grand Ave, Cal Poly Health Services, San Luis Obispo, CA 93410-9001 | 2015-09-16 |
1184854598 | Richard V Ascoli | Family Medicine | 1 Grand Ave, San Luis Obispo, CA 93407-9000 | 2009-07-20 |
1942464920 | June Gelling | Pharmacist | 1 Grand Ave, San Luis Obispo, CA 93407-9000 | 2008-07-18 |
1902086150 | California Polytechnic State University At San Luis Obispo | Clinic/Center | 1 Grand Ave, San Luis Obispo, CA 93407-9000 | 2007-11-05 |
1356548051 | Valerie Veronica Monge | Physician Assistant | 1 Grand Ave, San Luis Obispo, CA 93407-9000 | 2007-06-27 |
1902928542 | Raechel Nicole Cunningham | Specialist/Technologist | 1 Grand Ave, San Luis Obispo, CA 93407-9000 | 2007-04-04 |
1255456901 | Paul Eric Gabrielson | Specialist/Technologist | 1 Grand Ave, Athletics, San Luis Obispo, CA 93407-9000 | 2007-03-20 |
1558485896 | California Polytechnic State University | Specialist/Technologist | 1 Grand Ave, San Luis Obispo, CA 93407-9000 | 2007-03-19 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1730244377 | Marilyn Jane Pieters | Nurse Practitioner | Cal Poly State University Student Health Services, San Luis Obispo, CA 93407 | 2006-12-26 |
1750442653 | California Polytechnic State University At San Luis Obispo | Clinic/Center | Cal Poly Health Services, Grand Ave., San Luis Obispo, CA 93407 | 2006-12-13 |
1710065461 | Marina E Perez | Nurse Practitioner | 1 Grand Ave., Cal Poly Health Services, San Luis Obispo, CA 93407 | 2006-11-01 |
1447435912 | Cal Poly Health Services | Clinic/Center | 1 Grand Ave Building 27, Cal Poly State University, San Luis Obispo, CA 93407-0000 | 2008-01-03 |
1275739245 | Nancy J Walden | Nurse Practitioner | Cal Poly State Health Center, 1 Grand Ave Building 27, San Luis Obispo, CA 93407-0210 | 2007-06-26 |
1558475699 | Mark Mason Haley | Physician Assistant | One Grand Ave, San Luis Obispo, CA 93407-0210 | 2006-08-18 |
1417194408 | Norman Brooks Smith | Family Medicine | 1 Grand Ave., Cal Poly Health Services, San Luis Obispo, CA 93407-0210 | 2009-01-13 |
1720140288 | Cal Poly Health Services | Clinic/Center | Health Services, California Polytechnic State University, San Luis Obispo, CA 93407-0210 | 2006-12-14 |
1750450680 | David Lloyd Harris | Internal Medicine | Health Services, California Polytechnic State University, San Luis Obispo, CA 93407-0210 | 2006-11-07 |
1578694675 | Student Health Service Pharmacy | Pharmacy | 1 Grand Ave Bldg 27, Health Center, San Luis Obispo, CA 93407-9000 | 2007-03-08 |
Find all providers in zip 93407 |
Taxonomy Code | 208D00000X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | General Practice |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1538245931 | Andrea Leigh Brauninger | General Practice | California Polytechnic State University Student Health, 1 Grand Ave, San Luis Obispo, CA 93410-0001 | 2006-10-27 |
1205196052 | Atsuko E. Rees, Md | General Practice | 4251 S Higuera St, Suite 401, San Luis Obispo, CA 93401-7700 | 2012-05-25 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1851992986 | Lindsay Fry | General Practice | 375 Bonair St Apt 1, La Jolla, CA 92037-5911 | 2020-11-04 |
1255939674 | Kiira Health Practice Ca PC | General Practice | 123 S Figueroa St Apt 1202, Los Angeles, CA 90012-5490 | 2020-10-16 |
1851999627 | Golden State Medical Center PC | General Practice | 2551 San Ramon Valley Blvd Ste 108, San Ramon, CA 94583-1661 | 2020-10-14 |
1598362709 | Afua Takyi | General Practice | 1555 River Park Dr Ste 211, Sacramento, CA 95815-4604 | 2020-10-01 |
1316553530 | Kimberly Ann Callaway | General Practice | 4893 Drakewood Ter, San Diego, CA 92130-1406 | 2020-09-22 |
1376156109 | Gtl Medical Group Inc | General Practice | 14555 Hamlin St Ste 107, Van Nuys, CA 91411-1617 | 2020-08-31 |
1922611896 | Daniel Lynn Johnson | General Practice | 74075 El Paseo Ste B2, Palm Desert, CA 92260-4118 | 2020-08-28 |
1235755299 | Hofmeister Medical, PC | General Practice | 31735 Riverside Dr Ste K, Lake Elsinore, CA 92530-7816 | 2020-06-24 |
1033733779 | South Bay Regenerative Medical Spa Inc | General Practice | 412 S Pacific Coast Hwy Ste 100, Redondo Beach, CA 90277-3712 | 2020-05-28 |
1568085041 | Integrated Advanced Medicine Inc | General Practice | 210 S Grand Ave Ste 408, Glendora, CA 91741-4282 | 2020-05-19 |
Find all providers with the same taxonomy |
City | SAN LUIS OBISPO |
Zip Code | 93407 |
Please comment or provide details below to improve the information on MR. KEVIN MCCARTHY.
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.