MR. JEFFREY MARTIN HALL (NPI# 1114298825) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1114298825 |
| Entity Type | Individual |
| Full Name | MR. JEFFREY MARTIN HALL |
| Practice Address |
125 W Mission Ave Suite 103 Escondido CA 92025-1720 |
| Practice Telephone | 7607473424 |
| Practice Fax Number | 7607473435 |
| Mailing Telephone | 7607473424 |
| Mailing Fax Number | 7607473435 |
| Enumeration Date | 2012-01-26 |
| Last Update Date | 2019-11-19 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 175T00000X | Peer Specialist | Other Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376880732 | Jeffrey Wayne Hall | Chiropractor | 3604 Sawmill Dr, Austin, TX 78749-6948 | 2013-01-05 |
| 1053547042 | Jeffrey David Hall | Dentist | 420 S Broadway St Ste 104, Forest City, NC 28043-4092 | 2009-06-03 |
| 1528273067 | Jeffrey Warren Hall | Specialist | 2382 Sadler Rd, St 1, Fernandina Beach, FL 32034-4548 | 2007-05-10 |
| 1578616355 | Jeffrey W Hall | Chiropractor | 6923 39th Avenue, Kenosha, WI 53142-7129 | 2007-01-18 |
| 1912929365 | Jeffrey Hall | Anesthesiology | 8132 Cordova Rd, Cordova, TN 38016 | 2006-07-24 |
| 1154308765 | Jeffrey Wayne Hall | Family Medicine | 3209 Colonial Drive, Columbia, SC 29203 | 2005-12-23 |
| 1609868496 | Jeffrey Maurice Hall | Surgery | 18245 E 10 Mile Rd, Suite 130, Roseville, MI 48066-5807 | 2005-08-17 |
| 1568467512 | Jeffrey P Hall | Podiatrist | 2000 E Layton Ave, St Francis, WI 53235-6053 | 2005-06-16 |
| 1740819580 | Jeffrey Robert Hall II | Student in an Organized Health Care Education/Training Program | 701 Park Ave South - Medicine, Minneapolis, MN 55415-1829 | 2020-04-03 |
| 1750861605 | Jeffrey Hall | Pharmacy Technician | 265 S Eagle Rd, Eagle, ID 83616-5907 | 2018-08-20 |
| Street Address |
125 W MISSION AVE SUITE 103 |
| City | ESCONDIDO |
| State | CA |
| Zip Code | 92025-1720 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265426852 | Julie Marie Wilcox | Psychiatry & Neurology | 125 W Mission Ave, Escondido, CA 92025-1720 | 2005-09-09 |
| 1568924082 | Victoria Clark | Registered Nurse | 125 W Mission Ave, Escondido, CA 92025-1720 | 2019-04-03 |
| 1285020974 | Meghan Schafer | Marriage & Family Therapist | 125 W Mission Ave, Suite 103, Escondido, CA 92025-1720 | 2015-04-09 |
| 1770979460 | Klara Marie Placek | Student in an Organized Health Care Education/Training Program | 125 W Mission Ave, Suite 103, Escondido, CA 92025-1720 | 2015-04-09 |
| 1245645605 | Genesis Lopez-cedillo | Student in an Organized Health Care Education/Training Program | 125 W Mission Ave, Suite 103, Escondido, CA 92025-1720 | 2014-06-24 |
| 1578983664 | Daniel Magos | Social Worker | 125 W Mission Ave, Suite 103, Escondido, CA 92025-1720 | 2014-04-16 |
| 1811262504 | Jean Ellen Selzer | Registered Nurse | 125 W Mission Ave, Escondido, CA 92025-1720 | 2012-03-14 |
| 1740551407 | Emmett Leigh Thomason IIi | Marriage & Family Therapist | 125 W Mission Ave, Suite 103, Escondido, CA 92025-1720 | 2012-01-25 |
| 1124395009 | Kimberly Guess | Dietitian, Registered | 125 W Mission Ave, Suite 105, Escondido, CA 92025-1720 | 2011-11-21 |
| 1518260363 | Alisa Marie Mertens | Case Manager/Care Coordinator | 125 W Mission Ave, Escondido, CA 92025-1720 | 2010-12-17 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962001230 | Tanya Geanna Macleod | Peer Specialist | 474 West Vermont Ave., Ste., 101, Escondido, CA 92025 | 2020-10-19 |
| 1801449640 | Jennifer Marsh | Marriage & Family Therapist | 403 N Escondido Blvd #533, Escondido, CA 92025 | 2019-07-21 |
| 1093281644 | Lucy Breen | Peer Specialist | 474 Weest Vermont Ave #104, Escondido, CA 92025 | 2018-10-22 |
| 1457834665 | Daniel & Max | Optometrist | 730 N Center City Parkway, Building A-1, Suite 101, Escondido, CA 92025 | 2018-09-13 |
| 1477033272 | Hyoshin Kwak | Acupuncturist | 106 S. Grape St, Suite 10, Escondido, CA 92025 | 2018-08-21 |
| 1467948877 | Irma P Garcia | Counselor | 337 West Mission Ave, Escondido, CA 92025 | 2018-07-09 |
| 1295235380 | Anna M. Rainville | Marriage & Family Therapist | 11701 San Pasqual Valley Rd, Escondido, CA 92025 | 2018-02-15 |
| 1689187049 | Monica Pino | Occupational Therapist | 469 E Grand Avenue, Escondido, CA 92025 | 2017-11-08 |
| 1427569581 | Mtk Primary Care Medical Group | Specialist | 1835a S Centre City Pkwy Ste 459, Escondido, CA 92025 | 2017-10-17 |
| 1619490349 | Elizabeth Sanchez Arvizu | Student in an Organized Health Care Education/Training Program | 490 N. Grape Stret, Escondido, CA 92025 | 2017-07-25 |
| Find all providers in zip 92025 | ||||
| Taxonomy Code | 175T00000X |
| Grouping | Other Service Providers |
| Classification | Peer Specialist |
| Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority. |
| Notes: Source: National Uniform Claim Committee [7/1/2014: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962001230 | Tanya Geanna Macleod | Peer Specialist | 474 West Vermont Ave., Ste., 101, Escondido, CA 92025 | 2020-10-19 |
| 1093281644 | Lucy Breen | Peer Specialist | 474 Weest Vermont Ave #104, Escondido, CA 92025 | 2018-10-22 |
| 1487108700 | Orlando Barahona | Peer Specialist | 490 N. Grape Street, Escondido, CA 92025 | 2016-08-04 |
| 1730701566 | Renee Isabelle Hirschfeld | Peer Specialist | 1050 N Broadway, Escondido, CA 92026-3044 | 2020-05-14 |
| 1548817364 | Melissa J Greenberg | Peer Specialist | 474 W Vermont Ave Ste 104, Escondido, CA 92025-6584 | 2019-08-26 |
| 1366094542 | Michael Terrance Hall | Peer Specialist | 490 N Grape St, Escondido, CA 92025-3079 | 2019-07-09 |
| 1699333997 | Arielle Abigail Goan | Peer Specialist | 1050 N Broadway, Escondido, CA 92026-3044 | 2019-05-31 |
| 1760040158 | Alvar Roy | Peer Specialist | 1050 N Broadway, Escondido, CA 92026-3044 | 2019-05-31 |
| 1053881508 | Efrain Eliseo Quintero | Peer Specialist | 474 W Vermont Ave Ste 104, Escondido, CA 92025-6584 | 2018-11-27 |
| 1386123370 | Cory Devin Mackinnon | Peer Specialist | 490 N Grape St, Escondido, CA 92025-3079 | 2018-08-09 |
| Find all providers in ESCONDIDO | ||||
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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.