CELSO VILLANUEVA CAYANAN (NPI# 1205174752) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1205174752 |
| Entity Type | Individual |
| Full Name | CELSO VILLANUEVA CAYANAN |
| Practice Address |
2051 Cushing Rd San Diego CA 92106-6173 |
| Mailing Address |
2051 Cushing Road Fpo AP 92106 |
| Practice Telephone | 6195245733 |
| Mailing Telephone | 6195245733 |
| Enumeration Date | 2013-01-17 |
| Last Update Date | 2013-01-17 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1710I1002X |
Military Health Care Provider Specialization: Independent Duty Corpsman |
0000000000000000 | CA | Other Service Providers |
| Street Address |
2051 CUSHING RD |
| City | SAN DIEGO |
| State | CA |
| Zip Code | 92106-6173 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629052170 | Sung Wook Song | Family Medicine | 2051 Cushing Rd, San Diego, CA 92106-6173 | 2005-11-29 |
| 1154810182 | Jermaine Sarmiento Zosa | Licensed Vocational Nurse | 2051 Cushing Rd, San Diego, CA 92106-6173 | 2018-05-04 |
| 1699289462 | Teresita Salve Thompson | Licensed Vocational Nurse | 2051 Cushing Rd, San Diego, CA 92106-6173 | 2017-11-30 |
| 1962916841 | Logan Timothy Peterschmidt | Military Health Care Provider | 2051 Cushing Rd, San Diego, CA 92106-6173 | 2017-11-29 |
| 1134461569 | Camille Angela Robinson | Pediatrics | 2051 Cushing Rd, San Diego, CA 92106 | 2013-03-24 |
| 1023356110 | Navy Medical Center San Diego | Military Hospital | 2051 Cushing Rd, San Diego, CA 92106-6173 | 2013-01-23 |
| 1477816213 | Nhu Quynh Do | Podiatrist | 2051 Cushing Rd, San Diego, CA 92106-6173 | 2012-06-18 |
| 1093088205 | Adam Michael Shults | Physician Assistant | 2051 Cushing Rd, San Diego, CA 92106-6173 | 2012-02-17 |
| 1093091605 | Marveluz Abad Verceles | Contractor | 2051 Cushing Rd, Naval Branch Health Clinic, Ntc, San Diego, CA 92106-6173 | 2011-10-26 |
| 1063792083 | Vanessa Wright | Nurse Practitioner | 2051 Cushing Rd, San Diego, CA 92106-6173 | 2011-08-22 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821650300 | Ktre1, LLC | Assisted Living Facility | 3219 Canon St., San Diego, CA 92106 | 2019-07-03 |
| 1093289910 | Ahsha Smith | Occupational Therapist | 2026 Roosevelt Road, #105, San Diego, CA 92106 | 2019-01-14 |
| 1710429147 | William Anthony Rodriquez | Social Worker | 140 Sylvester Ln. Building 500, Sarp Naval Base Pt Loma, San Diego, CA 92106 | 2016-11-16 |
| 1992123285 | Mark Wilson | Occupational Therapist | 2820 Roosevelt Road Ste 105, San Diego, CA 92106 | 2014-04-03 |
| 1659704542 | Sarah Hanem Izaguirre | Counselor | 2305 Historic Decatur Rd Ste 100, San Diego, CA 92106 | 2013-08-14 |
| 1285945451 | Danielle R Michaelis Castillo | Marriage & Family Therapist | 2305 Historic Decatur Rd., Suite 100, San Diego, CA 92106 | 2010-06-23 |
| 1588991145 | Philip Charles Rumsey | Dentist | 1050 Rosecrans St., Suite J, San Diego, CA 92106 | 2009-11-03 |
| 1801024575 | David Michael Spera | Dentist | 1050 Rosecrans, #j, San Diego, CA 92106 | 2009-07-01 |
| 1548408834 | Dolores Sanchez Pullen | Counselor | 1360 Rosecrans Street, Suite I, San Diego, CA 92106 | 2009-01-26 |
| 1215188362 | Jodi Lynn Ceballos | Psychologist | 2186 Historic Decatur Rd Unit 40, San Diego, CA 92106 | 2008-10-07 |
| Find all providers in zip 92106 | ||||
| Taxonomy Code | 1710I1002X |
| Grouping | Other Service Providers |
| Classification | Military Health Care Provider |
| Specialization | Independent Duty Corpsman |
| A Navy Independent Duty Corpsman (IDC) is an active duty Sailor who has successfully completed one of the Navy's specific IDC training programs. IDCs are formally trained and educated to perform primary medical care and minor surgical services in a variety of health care and non-health care settings worldwide under indirect physician supervision. IDCs provide care to Department of Defense operational forces and other supporting forces such as contractors and foreign nationals. |
| Notes: Source: Bureau of Medicine and Surgery, Department of the Navy [7/1/2005: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770180648 | Darius Lee Sean Woods | Military Health Care Provider | 6033 Sandy Shore Ct, San Diego, CA 92139-1014 | 2020-10-05 |
| 1174130744 | Daniel Carrera | Military Health Care Provider | 2645 W Canyon Ave Apt 450, San Diego, CA 92123-4700 | 2020-09-28 |
| 1316551740 | Kyle Bode Francis | Military Health Care Provider | 3149 Murray Ridge Rd, San Diego, CA 92123-2917 | 2020-09-02 |
| 1255945069 | Jeremy Lee | Military Health Care Provider | 509 Dennery Rd Apt 145, San Diego, CA 92154-8542 | 2020-08-31 |
| 1013520667 | Rashaad Brown | Military Health Care Provider | 4454 Cherokee Ave Apt 2, San Diego, CA 92116-3611 | 2020-08-24 |
| 1932711934 | Alvaro Daniel Macias | Military Health Care Provider | 8685 Rio San Diego Dr Apt 4344, San Diego, CA 92108-6560 | 2020-08-20 |
| 1689286189 | Charles Luke Morris | Military Health Care Provider | 1675 Beta Ct, San Diego, CA 92126-7060 | 2020-08-18 |
| 1255943635 | Stephon Peyton Frost | Military Health Care Provider | 2654 Mendonca Dr, San Diego, CA 92110-4263 | 2020-08-18 |
| 1184235871 | Jaden Sandi | Military Health Care Provider | Swmi Sfidc Bldg 14 34101 Farenholt Ave, San Diego, CA 92134-0001 | 2020-08-14 |
| 1477178457 | Joseph Hunter Sampson | Military Health Care Provider | 34101 Farenholt Ave #14, San Diego, CA 92134 | 2020-06-15 |
| Find all providers in SAN DIEGO | ||||
Please comment or provide details below to improve the information on CELSO VILLANUEVA CAYANAN.
| 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.