SUSAN DIANE GARDNER (NPI# 1174821664) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1174821664 |
| Entity Type | Individual |
| Full Name | SUSAN DIANE GARDNER |
| Practice Address |
6160 Mission Gorge Rd No. 120 San Diego CA 92120-3410 |
| Mailing Address |
447 N El Molino Ave Pasadena CA 91101-1403 |
| Practice Telephone | 6192822232 |
| Practice Fax Number | 6192822992 |
| Mailing Telephone | 6265778480 |
| Mailing Fax Number | 6265778978 |
| Enumeration Date | 2011-03-07 |
| Last Update Date | 2011-03-07 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 163W00000X | Registered Nurse | 362064 | CA | Nursing Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144578667 | Susan Mary Gardner | Speech-Language Pathologist | 1500 West 12th Ave, Eugene, OR 97402-3705 | 2012-08-15 |
| 1013142736 | Susan L Gardner | Pharmacist | 910 Mccleary St, Delray Beach, FL 33483-4965 | 2009-05-26 |
| 1851383087 | Susan Gardner | Pediatrics | 17030 Nanes Dr, 105, Houston, TX 77090-2503 | 2005-08-15 |
| 1083188304 | Susan M Gardner | Social Worker | 5700 W Grace St Ste 105a, Richmond, VA 23226-1834 | 2019-01-21 |
| 1194136333 | Susan Gardner | Occupational Therapist | 2100 E Provincial House Dr, Lansing, MI 48910-4884 | 2014-05-09 |
| 1831338102 | Susan Mcmahon Gardner | Optometrist | 410 Route 10, Suite 202 West Ten Plaza, Ledgewood, NJ 07852 | 2009-02-11 |
| 1275781809 | Susan Kay Gardner | Social Worker | 504 W Vista Way, Vista, CA 92083-5704 | 2008-09-08 |
| 1205000528 | Susan Gardner | Speech-Language Pathologist | 520 Grange Rd, Cave City, AR 72521-9393 | 2008-04-17 |
| 1841498441 | Susan Marie Gardner | Nurse Practitioner | 1801 E Langsford Rd, Lees Summit, MO 64063-6323 | 2007-07-05 |
| 1508079443 | Susan Ellen Gardner | Social Worker | 4250 Sunrise Hwy, Suite 103, Massapequa, NY 11758-5338 | 2007-05-07 |
| Street Address |
6160 MISSION GORGE RD NO. 120 |
| City | SAN DIEGO |
| State | CA |
| Zip Code | 92120-3410 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336104629 | Denney R Barrus | Social Worker | 6160 Mission Gorge Rd, Suite 200, San Diego, CA 92120-3410 | 2006-04-19 |
| 1669071627 | Felicia Elizabeth Nassif | Registered Nurse | 6160 Mission Gorge Rd, San Diego, CA 92120-3410 | 2020-10-21 |
| 1962014001 | Paulina Alvarado | Peer Specialist | 6160 Mission Gorge Rd, San Diego, CA 92120-3410 | 2020-08-19 |
| 1568081719 | Kristin Catherine Mcconnell | Student in an Organized Health Care Education/Training Program | 6160 Mission Gorge Rd, San Diego, CA 92120-3410 | 2020-04-08 |
| 1477184919 | Sean Arthur Smith | Licensed Vocational Nurse | 6160 Mission Gorge Rd, San Diego, CA 92120-3410 | 2020-02-03 |
| 1225671704 | Kendall Fitzpatrick | Case Manager/Care Coordinator | 6160 Mission Gorge Rd, San Diego, CA 92120-3410 | 2019-10-28 |
| 1649831660 | Paris Jackson | Case Manager/Care Coordinator | 6160 Mission Gorge Rd, San Diego, CA 92120-3410 | 2019-06-21 |
| 1730641408 | Shea Prophet | Marriage & Family Therapist | 6160 Mission Gorge Rd, San Diego, CA 92120-3410 | 2019-04-02 |
| 1902361181 | Ivette Quintero | Counselor | 6160 Mission Gorge Rd, San Diego, CA 92120-3410 | 2019-02-01 |
| 1679048417 | Taylor Nicole Nanquil Valdivia | Marriage & Family Therapist | 6160 Mission Gorge Rd, San Diego, CA 92120-3410 | 2018-10-08 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316550510 | Jessica Elizabeth Knight | Student in an Organized Health Care Education/Training Program | 6383 Alvarado Ct, 310, San Diego, CA 92120 | 2020-08-26 |
| 1770195091 | Julia Roccanova | Student in an Organized Health Care Education/Training Program | 6383 Alvarado Court, Suite 310, San Diego, CA 92120 | 2020-08-18 |
| 1225593601 | Truself Training, Inc | Clinic/Center | 5125 Waring Road, San Diego, CA 92120 | 2019-02-09 |
| 1508381799 | Antin Sachs | In Home Supportive Care | 4420 Rainier Avenue, Suite 202, San Diego, CA 92120 | 2017-08-08 |
| 1588186415 | Matthew B Wilbat | Behavioral Analyst | 6851 Alvarado Rd., #17, San Diego, CA 92120 | 2017-07-12 |
| 1548782923 | Mori Khatibzadeh Dds Inc. | Clinic/Center | 6171 Mission Gorge Road, Suite #114, San Diego, CA 92120 | 2017-07-07 |
| 1306379359 | Ken Samith Oerding | Nurse Practitioner | 5422 Reservoir Drive, E7, San Diego Ca, CA 92120 | 2017-04-06 |
| 1396134409 | Debra Michele Stern-ellis | Social Worker | 4647 Zion Avenue Kaiser Permanente, 2nd Floor - Oncology, San Diego, CA 92120 | 2015-01-13 |
| 1821494717 | Shohreh Tourian | Dentist | 7451 Mission Gorge Road, San Diego, CA 92120 | 2014-11-05 |
| 1184049215 | Charles Yin | Counselor | 6153 Fairmount Ave Suite #260, San Diego, CA 92120 | 2014-02-26 |
| Find all providers in zip 92120 | ||||
| Taxonomy Code | 163W00000X |
| Grouping | Nursing Service Providers |
| Classification | Registered Nurse |
| (1) A registered nurse is a person qualified by graduation from an accredited nursing school (depending upon schooling, a registered nurse may receive either a diploma from a hospital program, an associate degree in nursing (A.D.N.) or a Bachelor of Science degree in nursing (B.S.N.), who is licensed or certified by the state, and is practicing within the scope of that license or certification. R.N.’s assist patient in recovering and maintaining their physical or mental health. They assist physicians during treatments and examinations and administer medications. (2) A provider who is trained and educated in a formal nursing education program at an accredited school of nursing, passes a national certification examination, and is licensed by the state to practice nursing. The individual provides nursing services to patients or clients in areas such as health promotion, disease prevention, acute and chronic care and restoration and maintenance of health across the life span. |
| Notes: Sources: (2) American Nurses Association, American Nurses Credentialing Center, 1996 Certification Catalogue, and Rhea, Ott, and Shafritz, The Facts On File Dictionary of Health Care Management, New York: Facts On File Publications, 1988. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346841541 | Guadalupe Ibarra Sanders | Registered Nurse | 9022 Flanders Dr, San Diego, CA 92126-2826 | 2020-11-04 |
| 1215534854 | Angelique Austria Quiaot | Registered Nurse | 17825 Weaving Ln, San Diego, CA 92127-1283 | 2020-10-07 |
| 1497352314 | Lisa Ann Olson | Registered Nurse | 1255 Imperial Ave Ste 740, San Diego, CA 92101-7493 | 2020-10-04 |
| 1669087326 | Corina Lozano Manzo | Registered Nurse | 7436 Mission Center Road, San Diego, CA 92123 | 2020-09-10 |
| 1336754118 | Colleen Michelle Ortiz | Registered Nurse | 3046 Nile St, San Diego, CA 92104-4810 | 2020-09-09 |
| 1710591482 | Audrianna Oliva | Registered Nurse | 10319 Hemphill Ct, San Diego, CA 92126-3430 | 2020-09-01 |
| 1609489681 | Mary Beth Ratzlaff | Registered Nurse | 5469 Kearny Villa Rd, San Diego, CA 92123-1152 | 2020-08-28 |
| 1659984151 | Elisa Joy Vale | Registered Nurse | 5843 Mildred St, San Diego, CA 92110-1644 | 2020-08-25 |
| 1093325516 | Rodolfo Prilla Locsin | Registered Nurse | 446 Alta Rd Ste 5300, San Diego, CA 92158-0001 | 2020-08-10 |
| 1538779020 | Grace Lumenario Cecilio | Registered Nurse | George Bailey Detention Facility 446 Alta Rd Ste 5300, San Diego, CA 92158-0001 | 2020-08-09 |
| 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.