OLIVIA KIM MCMANUS (NPI# 1174870067) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1174870067 |
| Entity Type | Individual |
| Full Name | OLIVIA KIM MCMANUS |
| Credential | M.D. |
| Practice Address |
8001 Frost St San Diego CA 92123-2746 |
| Mailing Address |
3020 Childrens Way # Mc5003 San Diego CA 92123-4223 |
| Practice Telephone | 8589665819 |
| Mailing Telephone | 8583096300 |
| Enumeration Date | 2012-08-09 |
| Last Update Date | 2018-03-17 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2084N0402X |
Psychiatry & Neurology Specialization: Neurology with Special Qualifications in Child Neurology |
A120194 | CA | Allopathic & Osteopathic Physicians |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 4650 W Sunset Blvd, Ms #82, Los Angeles, CA 900276062 | 3233612471 | |
| 8001 Frost St, San Diego, CA 921232746 | 8589665819 | |
| 200 W Arbor Dr, San Diego, CA 921039000 | 6195433500 | 6195436806 |
| Street Address |
8001 FROST ST |
| City | SAN DIEGO |
| State | CA |
| Zip Code | 92123-2746 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861474561 | James C Perry | Pediatrics | 8001 Frost St, Entrance 9, San Diego, CA 92123-2746 | 2005-11-17 |
| 1790290393 | Aditi Trivedi | Student in an Organized Health Care Education/Training Program | 8001 Frost St, San Diego, CA 92123-2746 | 2017-12-05 |
| 1902223373 | Clare Eileen Skora | Psychiatry & Neurology | 8001 Frost St, San Diego, CA 92123-2746 | 2014-03-24 |
| 1376972174 | Cheryl Ripp | Nurse Practitioner | 8001 Frost St, San Diego, CA 92123-2746 | 2013-11-02 |
| 1841633914 | Dillon Yungyi Chen | Psychiatry & Neurology | 8001 Frost St, San Diego, CA 92123 | 2013-04-09 |
| 1669759148 | Neggy Rismanchi | Pediatrics | 8001 Frost St, San Diego, CA 92123-2746 | 2011-11-10 |
| 1528353521 | Natalie Mari Guido-estrada | Psychiatry & Neurology | 8001 Frost St, Rady Childrens Hospital of San Diego Specialty Clinics, San Diego, CA 92123-2746 | 2011-06-17 |
| 1154630838 | Amber Leigh Contillo | Nurse Practitioner | 8001 Frost St, San Diego, CA 92123-2746 | 2010-09-29 |
| 1568773984 | Jeffrey Joseph Gold | Psychiatry & Neurology | 8001 Frost St, San Diego, CA 92123-2746 | 2010-06-30 |
| 1194046581 | Anuja Vora Jindal | Pediatrics | 8001 Frost St, San Diego, CA 92123-2746 | 2010-06-20 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669087326 | Corina Lozano Manzo | Registered Nurse | 7436 Mission Center Road, San Diego, CA 92123 | 2020-09-10 |
| 1831703537 | Shannon Leigh Doolittle | Audiologist | 3020 Children's Way Mc5010, San Diego, CA 92123 | 2020-09-01 |
| 1861014359 | Ha Thanh Truong | Pharmacist | Rezcare, 3821 Calle Fortunada, San Diego, CA 92123 | 2020-05-07 |
| 1023667136 | Brittany Meyer | Physical Therapist | 3020 Children's Waymc5068, San Diego, CA 92123 | 2019-09-11 |
| 1598313272 | Ryan Edward Shaw | Marriage & Family Therapist | 8910 Clairmont Mesa Blvd, San Diego, CA 92123 | 2019-08-27 |
| 1528611910 | Tanisha C Fulcher | Marriage & Family Therapist | 8825 Aero Dr., Ste 315, San Diago, CA 92123 | 2019-07-24 |
| 1245795665 | Robin James Pekin | Marriage & Family Therapist | 4450 Kearny Villa Rd, #116, San Diego, CA 92123 | 2019-02-11 |
| 1174093728 | Karen Vences | Counselor | 8755 Aero Dr Suite 230, San Diego, CA 92123 | 2018-11-27 |
| 1255808465 | Natasha Herrera | Counselor | 2801 Meadow Lark Dr, San Diego, San Diego, CA 92123 | 2018-10-25 |
| 1407321987 | Maneka Elikewela | Behavior Technician | 3934 Murphy Canyon Rd, Ste B202, San Diego, CA 92123 | 2018-10-10 |
| Find all providers in zip 92123 | ||||
| Taxonomy Code | 2084N0402X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Neurology with Special Qualifications in Child Neurology |
| A Child Neurologist specializes in neurology with special skills in diagnosis and treatment of neurologic disorders of the neonatal period, infancy, early childhood, and adolescence. |
| Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528587250 | Cortica Behavioral Health Inc | Psychiatry & Neurology | 7090 Miratech Dr, San Diego, CA 92121-3109 | 2017-09-13 |
| 1801215926 | Katherine Marie Longardner | Psychiatry & Neurology | 200 W Arbor Dr, San Diego, CA 92103-9000 | 2014-04-16 |
| 1902223373 | Clare Eileen Skora | Psychiatry & Neurology | 8001 Frost St, San Diego, CA 92123-2746 | 2014-03-24 |
| 1841633914 | Dillon Yungyi Chen | Psychiatry & Neurology | 8001 Frost St, San Diego, CA 92123 | 2013-04-09 |
| 1487910170 | Joseph P Harmon | Psychiatry & Neurology | Naval Medical Ctr, 34800 Bob Wilson Drive, San Diego, CA 92134-5000 | 2012-04-06 |
| 1528353521 | Natalie Mari Guido-estrada | Psychiatry & Neurology | 8001 Frost St, Rady Childrens Hospital of San Diego Specialty Clinics, San Diego, CA 92123-2746 | 2011-06-17 |
| 1568773984 | Jeffrey Joseph Gold | Psychiatry & Neurology | 8001 Frost St, San Diego, CA 92123-2746 | 2010-06-30 |
| 1487819546 | Michael Richard Zimbric | Psychiatry & Neurology | 8010 Frost St, Ste 510, San Diego, CA 92123-2778 | 2008-07-28 |
| 1295934032 | Mary Jo Harbert | Psychiatry & Neurology | 3003 Health Center Dr., San Diego, CA 92123 | 2007-07-12 |
| 1023144375 | Ching Hsien Wang | Psychiatry & Neurology | 8001 Frost St, San Diego, CA 92123-2746 | 2007-02-23 |
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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.