KLARISSA MAE MALUTO (NPI# 1245889781) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1245889781 |
| Entity Type | Individual |
| Full Name | KLARISSA MAE MALUTO |
| Practice Address |
1150 Broadway Chula Vista CA 91911-2707 |
| Mailing Address |
10921 Waterton Rd San Diego CA 92131-3629 |
| Practice Telephone | 6195914909 |
| Mailing Telephone | 8582290150 |
| Enumeration Date | 2019-09-07 |
| Last Update Date | 2020-04-14 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 183500000X | Pharmacist | RPH80672 | CA | Pharmacy Service Providers |
| Street Address |
1150 BROADWAY |
| City | CHULA VISTA |
| State | CA |
| Zip Code | 91911-2707 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710904958 | Walmart Inc. | Durable Medical Equipment & Medical Supplies | 1150 Broadway, Chula Vista, CA 91911-2707 | 2006-07-16 |
| 1558851899 | Saijal Khattar | Pharmacist | 1150 Broadway, Chula Vista, CA 91911-2707 | 2018-05-11 |
| 1043709009 | Yasmen Hindi | Pharmacist | 1150 Broadway, Chula Vista, CA 91911-2707 | 2018-05-05 |
| 1053814012 | Anna Akayvan | Pharmacist | 1150 Broadway, Chula Vista, CA 91911-2707 | 2018-03-15 |
| 1659723476 | Paymon Hossini, Od, Inc | Optometrist | 1150 Broadway, Chula Vista, CA 91911-2707 | 2016-07-05 |
| 1275912800 | Melody Tavakoli O.d., Professional Corporation | Optometrist | 1150 Broadway, Chula Vista, CA 91911-2707 | 2015-05-28 |
| 1770985129 | John Carlson | Pharmacist | 1150 Broadway, Chula Vista, CA 91911-2707 | 2014-09-17 |
| 1437397171 | Paymon Hossini | Optometrist | 1150 Broadway, Chula Vista, CA 91911-2707 | 2009-02-03 |
| 1831370204 | Firstsight Vision Services, Inc. | Optometrist | 1150 Broadway, Chula Vista, CA 91911-2707 | 2007-11-14 |
| 1447331467 | Walmart Stores, Inc. | Technician/Technologist | 1150 Broadway, Chula Vista, CA 91911-2707 | 2006-10-17 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962011064 | Hfm Inc | Pharmacy | 750 Medical Center Court, Suite 8, Unit A, Chula Vista, CA 91911 | 2020-07-24 |
| 1659991198 | Cindy Way | Student in an Organized Health Care Education/Training Program | 1161 Bay Blvd. Ste. B Chula Vista,ca 91911, Chula Vista, CA 91911 | 2020-04-24 |
| 1083243455 | Uriel Angel Gonzalez | Student in an Organized Health Care Education/Training Program | 1161 Bay Boulevard B, Chula Vista, Chula Vista, CA 91911 | 2020-04-07 |
| 1083252464 | Denisse Patricia Macias | Dentist | 235 East Orange Avenue, Apartment E4, Chula Vista, CA 91911 | 2019-12-16 |
| 1952955494 | Jenifer Irene Wright | Counselor | 1180 Third Ave Suite C-3, Chula Vista, CA 91911 | 2019-08-01 |
| 1891357075 | Myriam Lourdes Scales | Counselor | 1172 3rd Ave Suite D1, Chula Vista, CA 91911 | 2019-07-08 |
| 1295228328 | Centro De Salud De La Comunidad De San Ysidro, Inc | Clinic/Center | 880 Third Ave Ste A, Chula Vista, CA 91911 | 2018-06-13 |
| 1902398589 | The Arc of San Diego | Day Training, Developmentally Disabled Services | 1280 Nolan Avenue, Chula Vista, CA 91911 | 2018-05-31 |
| 1003344292 | Jalitza Cardona | Peer Specialist | 853 3rd Ave, Suite C, Chula Vista, CA 91911 | 2017-06-01 |
| 1598138042 | Amy Nylund | Nurse Practitioner | 754 Medical Center Ct Ste 100, Chula Vista, CA 91911 | 2015-11-05 |
| Find all providers in zip 91911 | ||||
| Taxonomy Code | 183500000X |
| Grouping | Pharmacy Service Providers |
| Classification | Pharmacist |
| An individual licensed by the appropriate state regulatory agency to engage in the practice of pharmacy. The practice of pharmacy includes, but is not limited to, assessment, interpretation, evaluation, and implementation, initiation, monitoring or modification of medication and or medical orders; the compounding or dispensing of medication and or medical orders; participation in drug and device procurement, storage, and selection; drug administration; drug regimen reviews; drug or drug-related research; provision of patient education and the provision of those acts or services necessary to provide medication therapy management services in all areas of patient care. |
| Notes: Source: Adapted from National Association of Boards of Pharmacy Model State Pharmacy Act, Article 1, Section 104. [1/1/2006: definition modified, source modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801417704 | Jay N Surati | Pharmacist | 2084 Otay Lakes Rd Ste 102, Chula Vista, CA 91913-1368 | 2020-05-01 |
| 1730727454 | Aimee Joy Trammell | Pharmacist | 555 Broadway Ste 1054, Chula Vista, CA 91910-5345 | 2019-12-12 |
| 1871130823 | Andrew Thak Tha Yip | Pharmacist | 1320 La Crescentia Dr, Chula Vista, CA 91910-7942 | 2019-12-09 |
| 1134777139 | Shawki Marrogi Bachoua | Pharmacist | 79 E Emerson St, Chula Vista, CA 91911-3547 | 2019-09-03 |
| 1205395597 | Victor J Wahba | Pharmacist | 1637 Third Ave Unit A, Chula Vista, CA 91911-5823 | 2019-03-15 |
| 1598221004 | Louis Valentin | Pharmacist | 480 4th Ave Ste 100, Chula Vista, CA 91910-4411 | 2019-02-20 |
| 1730695230 | Michael Edward Brown | Pharmacist | 1038 Abeto Ct, Chula Vista, CA 91910-8002 | 2017-12-19 |
| 1891209151 | Douglas Martin Faucher | Pharmacist | 384 H St # 100, Chula Vista, CA 91910-5513 | 2017-11-24 |
| 1831627207 | Hong Xuan Nguyen | Pharmacist | 1376 Third Ave, Chula Vista, CA 91911-4303 | 2017-05-30 |
| 1396270583 | Tam Trieu | Pharmacist | 555 Broaway Suite 1054, Chula Vista, CA 91910 | 2017-04-25 |
| Find all providers in CHULA VISTA | ||||
| City | CHULA VISTA |
| Zip Code | 91911 |
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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.