CARLSBAD INTEGRATIVE MEDICAL CENTER INCORPORATED (NPI# 1225566466) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1225566466 |
| Entity Type | Organization |
| Organization Name | CARLSBAD INTEGRATIVE MEDICAL CENTER INCORPORATED |
| Practice Address |
5814 Van Allen Way Ste 215 Carlsbad CA 92008-7360 |
| Mailing Address |
Po Box 131267 Carlsbad CA 92013-1267 |
| Practice Telephone | 6193394509 |
| Enumeration Date | 2017-06-01 |
| Last Update Date | 2017-09-19 |
| Authorized Official Name | EILEEN PISANICH (DIRECTOR OF BUSINESS OPERATIONS) |
| Authorized Official Telephone | 6193394509 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208D00000X | General Practice | Allopathic & Osteopathic Physicians |
| Street Address |
5814 VAN ALLEN WAY STE 215 |
| City | CARLSBAD |
| State | CA |
| Zip Code | 92008-7360 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538464029 | Carolyn Aludino Candido | Family Medicine | 5814 Van Allen Way Ste 215, Ste. 215, Carlsbad, CA 92008-7360 | 2011-01-14 |
| 1477840510 | Jeremy M Whiting | Family Medicine | 5814 Van Allen Way Ste 215, Carlsbad, CA 92008-7360 | 2011-07-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760029706 | Todd F Ovokaitys | Internal Medicine | 2260 Rutherford Road, Suite 101, C/o Gematria, Carlsbad, CA 92008 | 2019-12-10 |
| 1710548375 | San Diego Dental Anesthesia | Dentist | 1287 Carlsbad Village Drive, Carlsbad, CA 92008 | 2019-06-25 |
| 1972096717 | Toshiya Kawano | Chiropractor | 5650 El Camino Real Ste 285, Carlsbad, CA 92008 | 2018-06-06 |
| 1184111684 | Brittany Lauren Cheatham | Nurse Practitioner | 345 Walnut Ave, Carlsbad, CA 92008 | 2018-04-19 |
| 1770092843 | Michele Laporte Downey | Counselor | 2910 Jefferson St, Suite 100, Carsbad, CA 92008 | 2017-09-21 |
| 1225567142 | Shana Smith | Occupational Therapy Assistant | 5870 El Camino Real, Carlsbad, CA 92008 | 2017-06-05 |
| 1336690395 | Luxottica of America Inc. | Eyewear Supplier (Equipment, not the service) | 2559 Camino Real Rd, Carlsbad, CA 92008 | 2016-10-14 |
| 1093174849 | Nhi Thi Diem Nguyen | Pharmacist | 6850 Avenida Encinas, Carlsbad, CA 92008 | 2016-02-22 |
| 1912362112 | Brooke Ann Bellomio | Psychologist | 2558 Roosevelt St. Suite 203, Carlsbad, CA 92008 | 2015-12-15 |
| 1285005660 | Thanh-trinh Doan | Optometrist | 2322 Rutherford Rd., Carlsbad, CA 92008 | 2015-10-12 |
| Find all providers in zip 92008 | ||||
| Taxonomy Code | 208D00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | General Practice |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700156031 | Alfred Mutchnik | General Practice | 7317 Almaden Ln, Carlsbad, CA 92009-6902 | 2012-01-03 |
| 1396145439 | True Care Mobile Inc. A Medical Corp | General Practice | 2888 Loker Ave E, Suite 111, Carlsbad, CA 92010-6682 | 2014-08-26 |
| 1780820548 | Mitchel James Olson | General Practice | 1902 Wright Pl, Suite 200, Carlsbad, CA 92008-6583 | 2008-12-29 |
| 1699875559 | Robert Steven Charlap | General Practice | 5814 Van Allen Way, Suite 210, Carlsbad, CA 92008 | 2006-09-22 |
| 1588688824 | Sandhya Desai | General Practice | 2176 Salk Ave, Carlsbad, CA 92008-7346 | 2006-07-27 |
| 1609815091 | Sandra R Alexander | General Practice | 1905 Calle Barcelona, Carlsbad, CA 92009-8450 | 2006-06-04 |
| 1831141258 | Pecos Valley of New Mexico, LLC | General Practice | 2420 W Pierce St, Ste 100, Carlsbad, NM 88220-3543 | 2006-05-16 |
| 1326004755 | Pecos Valley of New Mexico, LLC | General Practice | 2420 W Pierce St, Suite 200 B, Carlsbad, NM 88220-3543 | 2006-04-25 |
| 1194781021 | Pecos Valley of New Mexico, LLC | General Practice | 2430 W Pierce St, Carlsbad, NM 88220-3553 | 2006-04-20 |
| 1972569820 | Pecos Valley of New Mexico,llc | General Practice | 2420 W Pierce St, Suite 200 B, Carlsbad, NM 88220-3543 | 2006-04-20 |
| Find all providers in CARLSBAD | ||||
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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.