GWENDOLYN BANES (NPI# 1255824959) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1255824959 |
| Entity Type | Individual |
| Full Name | GWENDOLYN BANES |
| Credential | REGISTERED NURSE |
| Practice Address |
995 Gateway Center Way Ste 300 San Diego CA 92102-4550 |
| Mailing Address |
11354 Via Rancho San Diego Unit D El Cajon CA 92019-5203 |
| Practice Telephone | 6193982156 |
| Practice Fax Number | 6193982168 |
| Mailing Telephone | 6193099598 |
| Enumeration Date | 2018-06-07 |
| Last Update Date | 2019-04-05 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 163WG0000X |
Registered Nurse Specialization: General Practice |
RN655020 | CA | Nursing Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | DRIVER LICENSE | A2634637 | 01 |
| Street Address |
995 GATEWAY CENTER WAY STE 300 |
| City | SAN DIEGO |
| State | CA |
| Zip Code | 92102-4550 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700954559 | Edlinda Malapit | Case Manager/Care Coordinator | 995 Gateway Center Way Ste 300, San Diego, CA 92102-4550 | 2006-12-01 |
| 1245843390 | Claude Antonio Cintron | Counselor | 995 Gateway Center Way Ste 300, San Diego, CA 92102-4550 | 2020-08-28 |
| 1174149736 | Heidi Anthony | Counselor | 995 Gateway Center Way Ste 300, San Diego, CA 92102-4550 | 2020-06-19 |
| 1548896129 | Brooklyn Haller | Registered Nurse | 995 Gateway Center Way Ste 300, San Diego, CA 92102-4550 | 2020-03-16 |
| 1821620733 | Sierra Shalee Weischedel | Counselor | 995 Gateway Center Way Ste 300, San Diego, CA 92102-4550 | 2020-02-08 |
| 1255961926 | Wendy R Sattam | Counselor | 995 Gateway Center Way Ste 300, San Diego, CA 92102-4550 | 2020-01-22 |
| 1306476155 | Joshua David Vazquez | Counselor | 995 Gateway Center Way Ste 300, San Diego, CA 92102-4550 | 2020-01-21 |
| 1477183457 | Elijah Torres | Counselor | 995 Gateway Center Way Ste 300, San Diego, CA 92102-4550 | 2020-01-18 |
| 1730719840 | Joseph Paquette | Counselor | 995 Gateway Center Way Ste 300, San Diego, CA 92102-4550 | 2020-01-17 |
| 1912546706 | Veronica Maria Young | Counselor | 995 Gateway Center Way Ste 300, San Diego, CA 92102-4550 | 2019-12-27 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437766698 | Daniela Tablas | Behavioral Analyst | 303 47th St Spc D-22, San Diego, CA 92102 | 2020-09-30 |
| 1649745712 | Juliet Lao Kurek | Pharmacist | 2121 Imperial Avenue, San Diego, CA 92102 | 2018-10-04 |
| 1851887020 | Monique Joseph | Counselor | 2410 E. Street, San Diego, CA 92102 | 2018-07-10 |
| 1184166316 | Elise Blanton-hubbard | Counselor | 1850 Dale St, San Diego, CA 92102 | 2016-11-04 |
| 1699221416 | Kari Judith Medina | Student in an Organized Health Care Education/Training Program | 1199 34th Street Apt 11, San Diego, CA 92102 | 2016-08-31 |
| 1942674536 | Caitlin Hillary Dablow | Speech-Language Pathologist | 1201 34th Street, San Diego, CA 92102 | 2015-11-19 |
| 1134508179 | Jonathan Waters | Military Health Care Provider | 1233 22nd Street, Unit 8, San Diego, CA 92102 | 2015-05-22 |
| 1871989913 | Abraham Greenberg | Pediatrics | 15 Balfour Street, Jerusalem, ISRAEL 92102 | 2015-04-15 |
| 1023421021 | Elmira Aghdam | Chiropractor | 5030 Bonita Rd Ste#b, Bonita, CA 92102 | 2014-06-06 |
| 1487092540 | Sherry Scott | Marriage & Family Therapist | 995 Gateway Center Drive #300, San Diego, CA 92102 | 2013-06-11 |
| Find all providers in zip 92102 | ||||
| Taxonomy Code | 163WG0000X |
| Grouping | Nursing Service Providers |
| Classification | Registered Nurse |
| Specialization | General Practice |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255987848 | Leila Alexandra Perry | Registered Nurse | 1501 Island Ave Apt 437, San Diego, CA 92101-7965 | 2019-08-10 |
| 1033604475 | Jila Ghabeljoo | Registered Nurse | 12672 Carmel Country Rd Unit 49, San Diego, CA 92130-3180 | 2018-06-28 |
| 1124545645 | Temitayo Olagbemi | Registered Nurse | 446 Alta Rd # 5300, San Diego, CA 92158-3018 | 2017-08-25 |
| 1376522193 | Anna Gruetzmacher | Registered Nurse | 34101 Farenholt Ave, Nshs-sd Idc, San Diego, CA 92134-7000 | 2006-01-11 |
| 1962018465 | Erik Mantsch | Registered Nurse | 3851 Rosecrans St, San Diego, CA 92110-3115 | 2020-09-20 |
| 1003422080 | Michelle Renee Zittlau-johnson | Registered Nurse | 1260 Morena Blvd Ste 100, San Diego, CA 92110-3850 | 2020-09-16 |
| 1215545496 | Priscilla Adams Hunter | Registered Nurse | 3851 Rosecrans St, San Diego, CA 92110-3115 | 2020-07-14 |
| 1497379812 | Valentine Daniele Aljabi | Registered Nurse | 6991 Balboa Ave, San Diego, CA 92111-3447 | 2020-06-01 |
| 1609427814 | Joan Balahadia | Registered Nurse | 4276 54th Pl Ste C, San Diego, CA 92115-6011 | 2019-09-28 |
| 1174174361 | Maniphanh Noraky | Registered Nurse | 4276 54th Pl Ste C, San Diego, CA 92115-6011 | 2019-09-27 |
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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.