MICHAEL LARSEN (NPI# 1134508039) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1134508039 |
| Entity Type | Individual |
| Full Name | MICHAEL LARSEN |
| Practice Address |
11019 Dove Tail Ter San Diego CA 92128-4019 |
| Practice Telephone | 8582316603 |
| Mailing Telephone | 8582316603 |
| Enumeration Date | 2015-05-25 |
| Last Update Date | 2015-05-25 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2471M1202X |
Radiologic Technologist Specialization: Magnetic Resonance Imaging |
180139 | CA | Technologists, Technicians & Other Technical Service Providers |
| N | 2471M1202X |
Radiologic Technologist Specialization: Magnetic Resonance Imaging |
RHT00045134 | CA | Technologists, Technicians & Other Technical Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | ALTOS GROUP | UNKNOWN | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891999264 | Michael E Larsen | Social Worker | 24620 Knox Dr, Marshall, MO 65340-4304 | 2007-06-12 |
| 1558415745 | Michael Paul Larsen | Optometrist | 59 Auburn St, Auburn, MA 01501-2428 | 2007-01-23 |
| 1144383308 | Michael Richard Larsen | Chiropractor | 201 Allegheny Ave, Coudersport, PA 16915-1501 | 2006-12-19 |
| 1619053931 | Michael L Larsen | Chiropractor | 1052 E Losey St, Galesburg, IL 61401-3874 | 2006-10-30 |
| 1376570242 | Michael Andrew Larsen | Dentist | 1361 E 16th St, Burley, ID 83318-2008 | 2006-06-27 |
| 1144781717 | Michael Larsen | Anesthesiology | 5841 S. Maryland Ave, M/c 4028, Chicago, IL 60637-1443 | 2019-03-27 |
| 1114391851 | Michael Larsen | Physician Assistant | 55 Coburg Rd, Eugene, OR 97401-2433 | 2015-11-18 |
| 1891040440 | Michael Thorpe Larsen | Plastic Surgery | 370 E Virginia Ave Ste 100, Phoenix, AZ 85004-1254 | 2012-07-19 |
| 1962685222 | Michael Carl Larsen | Internal Medicine | 1100 9th Ave, Seattle, WA 98101-2756 | 2007-12-10 |
| 1902005663 | Michael L Larsen | Radiology | 200 1st St Sw, Rochester, MN 55905-0001 | 2007-07-13 |
| Street Address |
11019 DOVE TAIL TER |
| City | SAN DIEGO |
| State | CA |
| Zip Code | 92128-4019 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518585371 | Alicia Ford | Behavior Technician | 1170 Bernardo Plaza Court, Suite 350, San Diego, CA 92128 | 2020-07-08 |
| 1164087573 | Madeleine White | Dietitian, Registered | 16685 W Bernardo Dr, Suite 121, San Diego, CA 92128 | 2019-05-01 |
| 1053807677 | Joele Ghosn | Speech-Language Pathologist | 11838 Bernardo Plaza Ct #110, San Diego, CA 92128 | 2018-07-06 |
| 1376034348 | Eddie Reginald Burston II | In Home Supportive Care | 12727 Camino Emparrado, San Diego, CA 92128 | 2018-05-24 |
| 1336659218 | Ryan Fong | Physician Assistant | 15004 Innovation Drive (s97), San Diego, CA 92128 | 2017-10-05 |
| 1508316191 | Araceli Flores | Behavioral Analyst | 15737 Innovation Dr, Suite 200, San Diego, CA 92128 | 2016-10-07 |
| 1003283961 | Katherine Dishner | Hearing Instrument Specialist | 16766 Bernardo Center Dr Ste 206, San Diego, CA 92128 | 2015-08-27 |
| 1205212586 | Mobilia Dmd Inc. | Point of Service | 12405 Rancho Bernardo Rd., San Diego, CA 92128 | 2015-08-10 |
| 1346623634 | Angela Christine Storck-petersen | Dietitian, Registered | 11768 Caminito Corriente, San Diego, CA 92128 | 2015-07-04 |
| 1134526874 | Breeana Rose Lancaster | Speech-Language Pathologist | 11838 Bernardo Plaza Ct. Suite 110, Kids Therapy Associates, San Diego, CA 92128 | 2014-11-24 |
| Find all providers in zip 92128 | ||||
| Taxonomy Code | 2471M1202X |
| Grouping | Technologists, Technicians & Other Technical Service Providers |
| Classification | Radiologic Technologist |
| Specialization | Magnetic Resonance Imaging |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821470352 | Meghan Holtan | Radiologic Technologist | 3350 La Jolla Village Dr, San Diego, CA 92161-0002 | 2015-06-20 |
| 1518373141 | Justin Troy Souza | Radiologic Technologist | 3350 La Jolla Village Dr, San Diego, CA 92161-0002 | 2014-07-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619204997 | Platinum Medical Management, Inc. | Radiologic Technologist | 21520 Pioneer Blvd Ste 203, Hawaiian Gardens, CA 90716-2601 | 2009-11-07 |
| 1790918852 | Derrik Espinoza Asher | Radiologic Technologist | 6251 Adobe Cir, Irvine, CA 92617-5105 | 2009-08-24 |
| 1750534301 | La Mri Cener Inc | Radiologic Technologist | 1539 Beverly Blvd, Los Angeles, CA 90026-5704 | 2008-10-28 |
| 1073798237 | Martin Andrew Reina | Radiologic Technologist | 363 E Badillo St, Covina, CA 91723-2208 | 2008-01-07 |
| 1629292297 | Valley Radiologist Medical Associates | Radiologic Technologist | 35 Baywood Ave # 2, San Mateo, CA 94402-1516 | 2007-04-12 |
| 1023189560 | Advanced Radiology Healthcare, LLC | Radiologic Technologist | 3885 Cochran St Ste J, Pmb 347, Simi Valley, CA 93063-2367 | 2006-11-13 |
| 1780609644 | Open Advantage Mri IIi, Inc | Radiologic Technologist | 10 Pointe Dr, #110, Brea, CA 92821-3690 | 2006-07-13 |
| 1346265113 | Open Advantage Mri V | Radiologic Technologist | 3115 W March Ln, Suite 110, Stockton, CA 95219-2372 | 2006-07-13 |
| 1336164284 | Open Advantage Mri II | Radiologic Technologist | 600 N Tustin Ave, Suite 100, Santa Ana, CA 92705-3736 | 2006-07-13 |
| 1043243702 | San Jose Imaging Center | Radiologic Technologist | 361 South Monroe St, San Jose, CA 95128 | 2006-07-08 |
| Find all providers with the same taxonomy | ||||
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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.