MR. KEVIN RUSSELL O'ROURKE (NPI# 1184975427) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1184975427 |
| Entity Type | Individual |
| Full Name | MR. KEVIN RUSSELL O'ROURKE |
| Practice Address |
4040 30th St San Diego CA 92104-2684 |
| Practice Telephone | 6195152454 |
| Practice Fax Number | 6196920478 |
| Mailing Telephone | 6195152454 |
| Mailing Fax Number | 6196920478 |
| Enumeration Date | 2012-09-26 |
| Last Update Date | 2012-09-26 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 174H00000X | Health Educator | Other Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740816248 | Kevin O'rourke | Counselor | 13333 Palmdale Rd, Victorville, CA 92392-9364 | 2020-03-16 |
| 1760685358 | Kevin Patrick O'rourke | Emergency Medicine | 407 Uluniu St, #411, Kailua, HI 96734-2519 | 2007-06-09 |
| 1598981508 | Kevin Gerard O'rourke Jr. | Emergency Medicine | 2301 Holmes St, Department of Emergency Medicine, Kansas City, MO 64108-2640 | 2007-04-18 |
| Street Address |
4040 30TH ST |
| City | SAN DIEGO |
| State | CA |
| Zip Code | 92104-2684 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013268226 | Paloma Adriana Mohn | Counselor | 4040 30th St, San Diego, CA 92104-2684 | 2012-09-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750933610 | Hinderberger Dental Corporation | Dentist | 2050 El Cajon Boulevard, San Diego, CA 92104 | 2019-07-11 |
| 1912487265 | Graham Ashton Harris | Dentist | 2310 Craven Street, Bldg 3230, Fpo, AA 92104 | 2018-08-16 |
| 1700393485 | Christian Jacot | Occupational Therapy Assistant | 3128 Nile Street, San Diego, CA 92104 | 2018-01-04 |
| 1316452931 | Enrico Resurreccion Santos | Dental Hygienist | 2310 Craven St. Bldg. 3230, San Diego, CA 92104 | 2017-12-05 |
| 1164940789 | Robert Brian Damone | Acupuncturist | 3370 29th Street, San Diego, CA 92104 | 2017-09-04 |
| 1780100636 | Nicole Palacios | Counselor | 4170 Texas Street, Apt 1, San Diego, CA 92104 | 2017-08-22 |
| 1063938587 | Indie C Oliver Landrum | Case Manager/Care Coordinator | 2220 Broadway, San Diego, CA 92104 | 2017-08-16 |
| 1669829008 | Krystah Lynn Smith | Doula | 3370 Cherokee Ave, Unit 43, San Diego, CA 92104 | 2016-05-16 |
| 1063871853 | Holly Nicole Hinderberger | Dentist | 2050 El Cajon Blvd, San Diego, CA 92104 | 2016-02-22 |
| 1316336258 | Jorge E Talavera | Military Health Care Provider | 3875 Florida St Apt 2, San Diego, CA 92104 | 2015-01-15 |
| Find all providers in zip 92104 | ||||
| Taxonomy Code | 174H00000X |
| Grouping | Other Service Providers |
| Classification | Health Educator |
| Health educators work in a variety of settings providing education to individuals or groups of individuals on healthy behaviors, wellness, and health-related topics with the goal of preventing diseases and health problems. Health educators generally require a bachelor’s degree and may receive additional training, such as through mentoring, internships, or volunteer work. |
| Notes: Source: National Uniform Claim Committee, 2009 [7/1/2009: definition added] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104302892 | Melissa Kidd | Health Educator | 1671 Chalcedony St Apt 4, San Diego, CA 92109-3138 | 2018-07-16 |
| 1154820819 | Monica Ruiz | Health Educator | 10140 Campus Point Dr Ste 200, San Diego, CA 92121-1520 | 2018-02-08 |
| 1255883203 | Kimberly Ward | Health Educator | 5470 Collier Ave, San Diego, CA 92115-2240 | 2016-10-25 |
| 1073977534 | Micheal T Daniels | Health Educator | 3265 Adams Ave Apt 31, San Diego, CA 92116-1649 | 2016-04-11 |
| 1720446495 | Rickey Jasper II II | Health Educator | 2979 Escala Cir, San Diego, CA 92108-6723 | 2016-02-09 |
| 1053798090 | Shelley Ann Rahim | Health Educator | 15914 Windrose Way, San Diego, CA 92127-2067 | 2015-04-28 |
| 1114352275 | Michael G. Rosenfeld | Health Educator | 1760 W Montecito Way, San Diego, CA 92103-1263 | 2013-09-09 |
| 1790125979 | Charlotte Ann Lee | Health Educator | 4630 Vereda Mar Del Sol, San Diego, CA 92130-8627 | 2013-07-02 |
| 1336480599 | Kelly Ann Johnson | Health Educator | 950 6th Ave, 543, San Diego, CA 92101-6221 | 2013-03-12 |
| 1326388869 | Kimberly Lynn Bianco | Health Educator | 10368 Craftsman Way, #106, San Diego, CA 92127-3564 | 2013-02-20 |
| 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.