MRS. KIMBERLY DIRKS PANGANIBAN (NPI# 1154483816) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1154483816 |
| Entity Type | Individual |
| Full Name | MRS. KIMBERLY DIRKS PANGANIBAN |
| Other Name | MS. KIMBERLY MICHELLE DIRKS |
| Credential | LMFT |
| Practice Address |
16935 W Bernardo Dr Suite 208 San Diego CA 92127-1634 |
| Practice Telephone | 8583616016 |
| Practice Fax Number | 8584510333 |
| Mailing Telephone | 8583616016 |
| Mailing Fax Number | 8584510333 |
| Enumeration Date | 2006-12-15 |
| Last Update Date | 2015-09-01 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 106H00000X | Marriage & Family Therapist | MFC52717 | CA | Behavioral Health & Social Service Providers |
| N | 106H00000X | Marriage & Family Therapist | 54218 | CA | Behavioral Health & Social Service Providers |
| N | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | MEDI-CAL PROVIDER NUMBER | 9613 | 01 |
| Street Address |
16935 W BERNARDO DR SUITE 208 |
| City | SAN DIEGO |
| State | CA |
| Zip Code | 92127-1634 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346238946 | Jeri Ann Karlsberg | Marriage & Family Therapist | 16935 W Bernardo Dr, Suite 108, San Diego, CA 92127-1634 | 2005-10-10 |
| 1720366842 | Physiotherapy Associates, Inc. | Clinic/Center | 16935 W Bernardo Dr, Suite 180, San Diego, CA 92127-1621 | 2011-07-22 |
| 1528346772 | Andrea S Knox | Marriage & Family Therapist | 16935 W Bernardo Dr, Suite 208, San Diego, CA 92127-1634 | 2011-07-21 |
| 1649578709 | Maria Teresa Genter | Marriage & Family Therapist | 16935 W Bernardo Dr, 110, San Diego, CA 92127-1634 | 2011-03-14 |
| 1770728362 | Leslie Westlund Craig | Psychiatry & Neurology | 16935 W Bernardo Dr, Suite # 107, San Diego, CA 92127-1634 | 2008-12-10 |
| 1104076728 | Micol Gonella | Psychologist | 16935 W Bernardo Dr, Suite 208, San Diego, CA 92127-1634 | 2008-09-19 |
| 1932399938 | Douglas Allen Peterson | Clinical Neuropsychologist | 16935 W Bernardo Dr, 238, San Diego, CA 92127-1634 | 2007-07-26 |
| 1396950903 | Gary W. Lawson | Psychologist | 16935 W Bernardo Dr, Suite 102, San Diego, CA 92127-1634 | 2007-05-14 |
| 1093920530 | Jacqueline Newcomb | Psychologist | 16935 W Bernardo Dr, Suite 237, San Diego, CA 92127-1634 | 2007-05-10 |
| 1548474729 | Joan Salat | Social Worker | 16935 W Bernardo Dr, Suite 237, San Diego, CA 92127-1634 | 2007-05-09 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740800325 | Jacob New | Student in an Organized Health Care Education/Training Program | 10790 Rancho Bernardo Rd., Mail Drop 4s-205, San Diego, CA 92127 | 2020-04-23 |
| 1376174946 | Marjorie Francisco Noy | Social Worker | 16550 W. Bernardo Drive, Bldg. 8/1688n, San Diego, CA 92127 | 2020-01-31 |
| 1295253839 | Chelsea Saville | Physical Therapist | 16680 West Bernardo Drive, San Diego, CA 92127 | 2017-09-05 |
| 1558881862 | Dianna Christine Goodwin | Social Worker | 11031 Via Frontera Suite C, San Diego, CA 92127 | 2017-06-27 |
| 1164966495 | Kelsey Michaela Bright | Specialist/Technologist | 15778 Camino Crisalida, San Diego, CA 92127 | 2016-12-06 |
| 1588112924 | Orenda Recovery | Substance Abuse Rehabilitation Facility | 8110 Twilight Point Way, San Diego, CA 92127 | 2016-09-14 |
| 1063868560 | Jung Oh | Pharmacist | 18087 Valladares Drive, San Diego, CA 92127 | 2016-05-13 |
| 1225496524 | Davey Dental Corp | Dentist | 16460 Paseo Del Sur, Suite 105, San Diego, CA 92127 | 2016-02-02 |
| 1942673496 | Davey Dental Corporation | Dentist | 1640 Paseo Del Sur, Suite 105, San Diego, CA 92127 | 2015-11-05 |
| 1164800025 | Maryam Derakhshani | Dentist | 10960 La Alberca Avenue, San Diego, CA 92127 | 2015-05-12 |
| Find all providers in zip 92127 | ||||
| Taxonomy Code | 106H00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Marriage & Family Therapist |
| A marriage and family therapist is a person with a master's degree in marriage and family therapy, or a master's or doctoral degree in a related mental health field with substantially equivalent coursework in marriage and family therapy, who receives supervised clinical experience, or a person who meets the state requirements to practice as a marriage and family therapist. A marriage and family therapist treats mental and emotional disorders within the context of marriage and family systems. A marriage and family therapist provides mental health and counseling services to individuals, couples, families, and groups. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689275331 | Brenda L Curtis | Marriage & Family Therapist | 9191 Towne Centre Dr Ste 103, San Diego, CA 92122-1227 | 2020-11-07 |
| 1154921252 | Rayna Milner | Marriage & Family Therapist | 9308 Babauta Rd Apt 61, San Diego, CA 92129-4922 | 2020-10-28 |
| 1114525995 | Bethany Minick | Marriage & Family Therapist | 940 56th St, San Diego, CA 92114-1714 | 2020-10-13 |
| 1477160877 | Lucy Zhang | Marriage & Family Therapist | 6363 Beadnell Way Apt 249, San Diego, CA 92117-4164 | 2020-09-29 |
| 1679189161 | Lucy Wallace | Marriage & Family Therapist | 1265 Trieste Dr, San Diego, CA 92107-3957 | 2020-09-20 |
| 1871107417 | Giselle Romo | Marriage & Family Therapist | 3378 Redwood St, San Diego, CA 92104-4763 | 2020-09-01 |
| 1245849116 | Erica Ovington | Marriage & Family Therapist | 995 Gateway Center Way Ste 208, San Diego, CA 92102-4544 | 2020-07-27 |
| 1164048955 | Kristina Kalaya Clancy | Marriage & Family Therapist | 2333 1st Ave Ste 203, San Diego, CA 92101-1540 | 2020-06-17 |
| 1629692397 | Tlc Family Therapy | Marriage & Family Therapist | 5965 Village Way. Suite 105 #112, San Diego, CA 92130 | 2020-05-29 |
| 1245854983 | Rebecca Braunstein | Marriage & Family Therapist | 11342 Westonhill Dr, San Diego, CA 92126-1449 | 2020-05-28 |
| 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.