KIMBERLY SCHLACK (NPI# 1225090798) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1225090798 |
| Entity Type | Individual |
| Full Name | KIMBERLY SCHLACK |
| Credential | MD |
| Practice Address |
7901 Frost St San Diego CA 92123-2701 |
| Mailing Address |
Po Box 10076 Van Nuys CA 91410-0076 |
| Practice Telephone | 6192950964 |
| Mailing Telephone | 8055788300 |
| Mailing Fax Number | 8055788950 |
| Enumeration Date | 2006-04-03 |
| Last Update Date | 2007-07-09 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| X | 207ZC0500X |
Pathology Specialization: Cytopathology |
G66603 | CA | Allopathic & Osteopathic Physicians |
| X | 207ZP0102X |
Pathology Specialization: Anatomic Pathology & Clinical Pathology |
G66603 | CA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | 00G666030 | 05 |
| Street Address |
7901 FROST ST |
| City | SAN DIEGO |
| State | CA |
| Zip Code | 92123-2701 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730176785 | Kristine Lynn Ortiz | Nurse Practitioner | 7901 Frost St, Sharp Memorial Hospital Cardiac Transplant Department, San Diego, CA 92123-2701 | 2005-10-04 |
| 1780285650 | Michelle Aubrey Hawkes | Nurse Practitioner | 7901 Frost St, San Diego, CA 92123-2701 | 2020-11-05 |
| 1144830548 | Erin Stiefel | Nurse Practitioner | 7901 Frost St, San Diego, CA 92123-2701 | 2020-07-31 |
| 1043832314 | Sharan Dhoot | Pharmacist | 7901 Frost St, San Diego, CA 92123-2701 | 2020-05-10 |
| 1295375079 | Natsurang Chong Corporation | Internal Medicine | 7901 Frost St, San Diego, CA 92123-2701 | 2020-01-09 |
| 1073161329 | Andrea Boettcher | Internal Medicine | 7901 Frost St, San Diego, CA 92123-2701 | 2019-08-29 |
| 1790337368 | Sarah Norwid | Nurse Practitioner | 7901 Frost St, San Diego, CA 92123-2701 | 2019-07-12 |
| 1235629296 | Celeste Briones | Pharmacist | 7901 Frost St, San Diego, CA 92123-2701 | 2018-05-15 |
| 1952818601 | Jessica J Reyes | Nurse Practitioner | 7901 Frost St, San Diego, CA 92123 | 2018-01-03 |
| 1255846341 | Bradley Iannucci | Licensed Vocational Nurse | 7901 Frost St, San Diego, CA 92123-2701 | 2017-12-11 |
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| 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 |
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| Taxonomy Code | 207ZC0500X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pathology |
| Specialization | Cytopathology |
| A cytopathologist is an anatomic pathologist trained in the diagnosis of human disease by means of the study of cells obtained from body secretions and fluids, by scraping, washing, or sponging the surface of a lesion, or by the aspiration of a tumor mass or body organ with a fine needle. A major aspect of a cytopathologist’s practice is the interpretation of Papanicolaou-stained smears of cells from the female reproductive systems, the "Pap" test. However, the cytopathologist’s expertise is applied to the diagnosis of cells from all systems and areas of the body. He/she is a consultant to all medical specialists. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton changed, source added] Additional Resources: American Board of Pathology, 2007. http://www.abpath.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Pathology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184684557 | Michael I Nerenberg | Pathology | 3398 Carmel Mountain Rd, San Diego, CA 92121-1044 | 2006-03-28 |
| 1760655278 | Monisha Bhanote | Pathology | 13112 Evening Creek Dr S, San Diego, CA 92128-4108 | 2008-04-04 |
| 1053515254 | Saadiya Haque | Pathology | 13112 Evening Creek Dr S, San Diego, CA 92128-4108 | 2007-06-12 |
| 1104936293 | James Cooper Valentine Jr. | Pathology | Naval Medical Ctr, 34800 Bob Wilson Dr., San Diego, CA 92134-5000 | 2006-08-30 |
| 1205841665 | Slawomir Tadeusz Niewiadomski | Pathology | 7592 Metropolitan Dr, Suite 405-407, San Diego, CA 92108-4428 | 2006-07-31 |
| 1982619466 | San Diego Pathologists Medical Group Inc | Pathology | 7592 Metropolitan Dr, Suite 405-407, San Diego, CA 92108-4428 | 2006-07-31 |
| 1154385037 | John B Stewart | Pathology | 7901 Frost St, San Diego, CA 92123-2701 | 2006-04-17 |
| 1376507384 | Wayne D Muller | Pathology | 7901 Frost St, San Diego, CA 92123-2701 | 2006-04-14 |
| 1821052937 | Howard S Robin | Pathology | 7901 Frost St, San Diego, CA 92123-2701 | 2006-04-14 |
| 1871557330 | Sharon Longway | Pathology | 7901 Frost St, San Diego, CA 92123-2701 | 2006-04-13 |
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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.