COORDINATED CLINICAL RESEARCH (NPI# 1215040688) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1215040688 |
| Entity Type | Organization |
| Organization Name | COORDINATED CLINICAL RESEARCH |
| Practice Address |
9850 Genesee Avenue Suite 320 La Jolla CA 92037 |
| Mailing Address |
9850 Genesee Ave #320 La Jolla CA 92037 |
| Practice Telephone | 8584555463 |
| Mailing Telephone | 8584555463 |
| Enumeration Date | 2006-08-17 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | MR. RICHARD A SMITH (PRESIDENT) |
| Authorized Official Telephone | 8584555463 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1744R1102X |
Specialist Specialization: Research Study |
Other Service Providers |
| Street Address |
9850 GENESEE AVENUE SUITE 320 |
| City | LA JOLLA |
| State | CA |
| Zip Code | 92037 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548241599 | Carla N Mcelroy | General Practice | 9850 Genesee Avenue, Suite 370, La Jolla, CA 92037-1224 | 2005-11-08 |
| 1679724462 | Marialyn Jo Sardo | Surgery | 9850 Genesee Avenue, Ste. 380, La Jolla, CA 92037 | 2008-10-10 |
| 1811154073 | San Diego Nerve Study Center | Specialist | 9850 Genesee Avenue, #750, La Jolla, CA 92037 | 2008-05-16 |
| 1003932740 | Reza Sadrian | Plastic Surgery | 9850 Genesee Avenue, Suite 500, La Jolla, CA 92037 | 2007-03-22 |
| 1942333075 | David Jens Dalstrom | Orthopaedic Surgery | 9850 Genesee Avenue, Suite 210, La Jolla, CA 92037 | 2007-03-14 |
| 1942344791 | Torrey Pines Orthopaedic Medical Group Inc | Orthopaedic Surgery | 9850 Genesee Avenue, Suite 210, La Jolla, CA 92037-1206 | 2007-02-16 |
| 1255403267 | James B Cordell | Internal Medicine | 9850 Genesee Avenue, Suite 430, La Jolla, CA 92037 | 2006-11-14 |
| 1871680231 | Paul E. Chasan, M.d., Inc. | Clinic/Center | 9850 Genesee Avenue, Suite 880, La Jolla, CA 92037 | 2006-10-06 |
| 1629170048 | David B Burns | Nurse Practitioner | 9850 Genesee Avenue, #940, La Jolla, CA 92037 | 2006-09-05 |
| 1477571958 | Richard Alan Brown | Orthopaedic Surgery | 9850 Genesee Avenue, Suite 210, La Jolla, CA 92037 | 2006-07-17 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982221768 | Equip Health Medical, PC | Clinic/Center | 2674 Costebelle Drive, Unit A, La Jolla, CA 92037 | 2020-06-29 |
| 1134745474 | Brenda Kay Wiederhold | Psychologist | Virtual Reality Medical Center, 9834 Genesee Avenue, Suite 427, La Jolla, CA 92037 | 2020-06-23 |
| 1316581598 | Kathleen M Blechertas | Physical Therapist | 9888 Genesee, Lj19, La Jolla, CA 92037 | 2019-10-31 |
| 1316592876 | Kevin Yanyan Li | Student in an Organized Health Care Education/Training Program | 9300 Campus Point Drive, Mc7400, La Jolla, CA 92037 | 2019-08-01 |
| 1407400542 | Juan J Salmeron | Dentist | Callejin Internacional 351 L2, Los Algodones, BAJA CALIFORNIA 92037 | 2019-07-26 |
| 1609428598 | Nicole Whitney Mark | Physician Assistant | 8103 Caminito Sonoma, La Jolla, CA 92037 | 2019-07-11 |
| 1700357936 | Cecelia Rose Greene/pendzich | Mastectomy Fitter | 7760 Fay Ave, Suite M., La Jolla, CA 92037 | 2018-12-16 |
| 1740765890 | Jeenal Ankit Gordhandas | Student in an Organized Health Care Education/Training Program | East Campus Office Building, Medical Center Dr, La Jolla, CA 92037 | 2018-09-25 |
| 1306325220 | Lisa Beth Perlov Marks | Marriage & Family Therapist | 7734 Hershel Avenue, Suite O, La Jolla, CA 92037 | 2018-08-10 |
| 1023596731 | Uc San Diego, Pathology Dept | Pathology | East Campus Office Building, Medical Center Dr, San Diego, CA 92037 | 2018-08-03 |
| Find all providers in zip 92037 | ||||
| Taxonomy Code | 1744R1102X |
| Grouping | Other Service Providers |
| Classification | Specialist |
| Specialization | Research Study |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023676632 | Ajit P Varki | Specialist | 9500 Gilman Dr # Mc0687, La Jolla, CA 92093-0687 | 2019-05-30 |
| 1053424432 | Center for Neurological Study | Specialist | 9850 Genesee Ave, Suite 320, La Jolla, CA 92037-1224 | 2006-08-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730701640 | Andrew Somers | Specialist | 6711 Yucca St, Hollywood, CA 90028-4609 | 2020-05-13 |
| 1679045041 | Mahsa Parviz | Specialist | 4869 W Sunset Blvd., Los Angeles, CA 90027-5969 | 2018-12-26 |
| 1134648397 | Jamie Dananberg | Specialist | 3280 Bayshore Blvd Ste 100, Brisbane, CA 94005-1029 | 2017-09-19 |
| 1205372315 | Naama Barnea-goraly | Specialist | 723 Partridge Ave, Menlo Park, CA 94025-5213 | 2017-01-12 |
| 1205387420 | Albert Lee | Specialist | 16638 Nicklaus Dr Unit 97, Sylmar, CA 91342-1693 | 2016-10-24 |
| 1912457425 | John J Speidel | Specialist | 631 Portofino Ln, Foster City, CA 94404-2937 | 2016-10-07 |
| 1073987087 | Kenneth Krantz | Specialist | 204 E 2nd Ave, Suite 519, San Mateo, CA 94401-3963 | 2015-11-15 |
| 1194199109 | Physicians Clinical Research, LLC | Specialist | 2240 Pacific Ave Ste A, Long Beach, CA 90806-4372 | 2015-11-15 |
| 1326445065 | William Lang | Specialist | 101 Cornelia Ave, Mill Valley, CA 94941-1807 | 2014-11-24 |
| 1396162145 | Filipinas Vitug | Specialist | 6652 San Alano Cir, Buena Park, CA 90620-3738 | 2014-03-18 |
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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.