RUTH CHAN (NPI# 1235773854) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1235773854 |
| Entity Type | Individual |
| Full Name | RUTH CHAN |
| Practice Address |
9305 Lightwave Ave San Diego CA 92123-6463 |
| Mailing Address |
11179 Provencal Pl San Diego CA 92128-3668 |
| Practice Telephone | 6195435399 |
| Enumeration Date | 2019-11-06 |
| Last Update Date | 2019-11-06 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1835P0018X |
Pharmacist Specialization: Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist |
70137 | CA | Pharmacy Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376809616 | Ruth Chan | Internal Medicine | 80 Giroux St, Ste 101, Reno, NV 89502 | 2012-04-11 |
| 1184141517 | Ruth Elizabeth Chan | Case Manager/Care Coordinator | 1556 S. Sultana Ave, Ontario, CA 91761 | 2017-08-25 |
| 1659456317 | Ruth T. Chan | Pediatrics | 39400 Paseo Padre Pkwy, Fremont, CA 94538-2310 | 2006-10-25 |
| Street Address |
9305 LIGHTWAVE AVE |
| City | SAN DIEGO |
| State | CA |
| Zip Code | 92123-6463 |
| 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 |
| Find all providers in zip 92123 | ||||
| Taxonomy Code | 1835P0018X |
| Grouping | Pharmacy Service Providers |
| Classification | Pharmacist |
| Specialization | Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist |
| Pharmacist Clinician/Clinical Pharmacy Specialist is a pharmacist with additional training and an expanded scope of practice that may include prescriptive authority, therapeutic management, and disease management. |
| Notes: Source: National Uniform Claim Committee, 2007 [1/1/2008: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306490453 | Genevieve Cheung | Pharmacist | 200 W Arbor Dr #8765, Department of Pharmacy, San Diego, CA 92103 | 2019-07-26 |
| 1013393107 | Saba Rab | Pharmacist | 550 Washington St Ste 100, San Diego, CA 92103-2227 | 2015-07-31 |
| 1881001584 | Pamela Richter | Pharmacist | 8944 Highwood Dr, San Diego, CA 92119-1426 | 2014-07-15 |
| 1083045678 | Michelle Schlueter | Pharmacist | 200 W Arbor Dr # 8765, San Diego, CA 92103-1911 | 2013-12-06 |
| 1467881359 | Daniel Siev | Pharmacist | 10415 Westchester Ave, San Diego, CA 92126-3340 | 2013-11-01 |
| 1760745616 | Dipika Patel | Pharmacist | 11910 Charmaine Way, San Diego, CA 92131-6123 | 2012-06-15 |
| 1992066153 | Gordon George Mcguire | Pharmacist | 9632 Saskatchewan Ave, San Diego, CA 92129-3501 | 2012-06-05 |
| 1285929075 | Angela Tran Berry | Pharmacist | 1389 Caminito Gabaldon Unit F, San Diego, CA 92108-1460 | 2011-06-09 |
| 1083944599 | Nhu Quynh Tran | Pharmacist | 8927 Duncan Rd, San Diego, CA 92126-2437 | 2010-01-05 |
| 1033443643 | Maher Alghabra | Pharmacist | 170 Town Ctr Pky, San Diego, CA 92070-1661 | 2009-09-29 |
| 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.