DR. KATHLEEN ELDRIDGE (NPI# 1255547667) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1255547667 |
| Entity Type | Individual |
| Full Name | DR. KATHLEEN ELDRIDGE |
| Credential | PHD |
| Practice Address |
24255 Pacific Coast Hwy Malibu CA 90263-3999 |
| Practice Telephone | 3105068559 |
| Enumeration Date | 2007-05-15 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TC0700X |
Psychologist Specialization: Clinical |
PSY 19447 | CA | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487856613 | Kathleen Fanjoy Eldridge | Internal Medicine | 4755 Ogletown Stanton Rd, Newark, DE 19718-0001 | 2007-06-01 |
| Street Address |
24255 PACIFIC COAST HWY |
| City | MALIBU |
| State | CA |
| Zip Code | 90263-3999 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386686277 | Kevin Allen Wright | Specialist/Technologist | 24255 Pacific Coast Hwy, Pepperdine University Athletics, Malibu, CA 90263-3999 | 2006-06-12 |
| 1104431451 | Alex Jason Vander Vorste | Specialist/Technologist | 24255 Pacific Coast Hwy, Pepperdine Athletics - Sports Medicine, Malibu, CA 90263 | 2020-09-14 |
| 1043867971 | Pepperdine University | Clinic/Center | 24255 Pacific Coast Hwy, Malibu, CA 90263-3999 | 2019-08-26 |
| 1275186025 | Karissa Ann Scherer | Specialist/Technologist | 24255 Pacific Coast Hwy, Malibu, CA 90263-3999 | 2019-07-22 |
| 1861917577 | Nicole Mariko Elby | Physical Therapist | 24255 Pacific Coast Hwy, Malibu, CA 90263-3999 | 2017-08-03 |
| 1063967016 | Katherine Sniffen | Specialist/Technologist | 24255 Pacific Coast Hwy, Athletic Department, Malibu, CA 90263-3999 | 2016-08-19 |
| 1649661661 | Pepperdine University | Chiropractor | 24255 Pacific Coast Hwy, Malibu, CA 90263-3999 | 2015-02-12 |
| 1518082544 | Geliann Kitsigianis | Internal Medicine | 24255 Pacific Coast Hwy, Malibu, CA 90263-3999 | 2007-03-20 |
| 1073647640 | Nancy Safinick | Physician Assistant | 24255 Pacific Coast Hwy, Malibu, CA 90263-3999 | 2007-03-15 |
| 1295865160 | Lucy Kaiser Larson | Pediatrics | 24255 Pacific Coast Hwy, Pepperdine Student Health Center, Malibu, CA 90263-3999 | 2007-03-07 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619198355 | Amber Clemmons-trigueros | Counselor | 24255 Pacific Coast Hwy # 3707, Malibu, CA 90263-3999 | 2007-05-01 |
| Taxonomy Code | 103TC0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Clinical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942797451 | Jennifer Jones | Psychologist | 24460 Malibu Rd, Malibu, CA 90265-4613 | 2018-04-19 |
| 1992196018 | Marion Anderson | Psychologist | 3808 Castlerock Rd, Malibu, CA 90265-5625 | 2015-02-11 |
| 1477815272 | James Paul Kalivas | Psychologist | 23838 Pacific Coast Hwy, Unit 2291, Malibu, CA 90265-1497 | 2012-06-08 |
| 1821395260 | Seasons Recovery Physicians Group, LLC | Psychologist | 30344 Morning View Dr, Malibu, CA 90265-3619 | 2011-02-22 |
| 1649496001 | Ronald M. Doctor | Psychologist | 18208 Kingsport Dr, Malibu, CA 90265-5636 | 2007-04-17 |
| 1083838122 | Allen Roy Darbonnie | Psychologist | 28990 Pacific Coast Hwy, Ste 203, Malibu, CA 90265-2968 | 2007-04-12 |
| 1053598300 | Bruce Rays | Psychologist | 23410 Civic Center Way, Suite E-8, Malibu, CA 90265-5909 | 2008-01-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164023867 | Watson, Sanchez, & Navarro Psychological Group | Psychologist | 270 E 7th St Ste 1c, Upland, CA 91786-6602 | 2020-11-08 |
| 1558962324 | Marjan-marcia Khalitchi-alavi | Psychologist | 12400 Wilshire Blvd #230, Los Angeles, CA 90025 | 2020-11-06 |
| 1982203568 | Gautami Polepally Ashok | Psychologist | 1234 W Chapman Ave Ste 203, Orange, CA 92868-2863 | 2020-10-23 |
| 1851990626 | Sarah R Martin | Psychologist | 650 Charles E Young Dr S # 12-096, Los Angeles, CA 90095-8347 | 2020-10-22 |
| 1184223851 | Emily Jenchura | Psychologist | 11301 Wilshire Blvd (116b, Rm. A-130), Los Angeles, CA 90073 | 2020-10-22 |
| 1588261580 | Pamela J Newman | Psychologist | 3737 Elderberry Gln, Escondido, CA 92025-7910 | 2020-10-04 |
| 1689271785 | Michelle Sullivan | Psychologist | 2419 44th Ave, San Francisco, CA 94116-2062 | 2020-10-02 |
| 1184231730 | Joanna Lesley Kaye | Psychologist | 3555 Rosecrans St Ste 114-212, San Diego, CA 92110-3231 | 2020-09-28 |
| 1174130181 | Pamela F. Benyas | Psychologist | Dr. Pamela Benyas, 4419 Vans Nuys Bl #400, Sherman Oaks, CA 91403 | 2020-09-24 |
| 1730795634 | Maya Boustani | Psychologist | 5441 Dundee Ct, Rancho Cucamonga, CA 91739-2604 | 2020-09-17 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on DR. KATHLEEN ELDRIDGE.
| 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.