BRADLEY IANNUCCI


Address: 7901 Frost St, San Diego, CA 92123-2701
Phone: 6196076763

BRADLEY IANNUCCI (NPI# 1255846341) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1255846341
Entity Type Individual
Full Name BRADLEY IANNUCCI
Credential LVN
Practice Address 7901 Frost St
San Diego
CA 92123-2701
Mailing Address 4175 Bachman Place
Apt 52
San Diego
CA 92103
Practice Telephone 6196076763
Mailing Telephone 6196076763
Enumeration Date 2017-12-11
Last Update Date 2017-12-11
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 164X00000X Licensed Vocational Nurse 259513 CA Nursing Service Providers

Office Location

Street Address 7901 FROST ST
City SAN DIEGO
State CA
Zip Code 92123-2701

Providers in the same location

NPI Name Taxonomy Address Enumeration
1730176785 Kristine Lynn Ortiz Nurse Practitioner 7901 Frost St, Sharp Memorial Hospital Cardiac Transplant Department, San Diego, CA 92123-2701 2005-10-04
1780285650 Michelle Aubrey Hawkes Nurse Practitioner 7901 Frost St, San Diego, CA 92123-2701 2020-11-05
1144830548 Erin Stiefel Nurse Practitioner 7901 Frost St, San Diego, CA 92123-2701 2020-07-31
1043832314 Sharan Dhoot Pharmacist 7901 Frost St, San Diego, CA 92123-2701 2020-05-10
1295375079 Natsurang Chong Corporation Internal Medicine 7901 Frost St, San Diego, CA 92123-2701 2020-01-09
1073161329 Andrea Boettcher Internal Medicine 7901 Frost St, San Diego, CA 92123-2701 2019-08-29
1790337368 Sarah Norwid Nurse Practitioner 7901 Frost St, San Diego, CA 92123-2701 2019-07-12
1235629296 Celeste Briones Pharmacist 7901 Frost St, San Diego, CA 92123-2701 2018-05-15
1952818601 Jessica J Reyes Nurse Practitioner 7901 Frost St, San Diego, CA 92123 2018-01-03
1265957500 Mary Elizabeth Burwell Nurse Practitioner 7901 Frost St, San Diego, CA 92123-2701 2017-08-08
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Providers in the same zip code

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
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Taxonomy Information

Taxonomy Code 164X00000X
Grouping Nursing Service Providers
Classification Licensed Vocational Nurse

Taxonomy Definition

An individual with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. [An alternate term for licensed practical nurse arising from difference in occupational titles between states and post-high school training programs and institutions.] Requirements for education, experience, licensure, and job responsibilities vary among the states.
Notes: Source: Rhea, Ott, and Shafritz, The Facts On File Dictionary of Health Care Management, New York: Facts On File Publications, 1988.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1952908782 Ying Pan Licensed Vocational Nurse 9909 Azuaga St Unit C107, San Diego, CA 92129-6019 2020-10-05
1194336982 Adelita Jasso Licensed Vocational Nurse 446 Alta Rd # 300, San Diego, CA 92158-0001 2020-08-14
1750909156 Hillary Carlson Licensed Vocational Nurse 4651 36th St, San Diego, CA 92116-3642 2020-07-12
1841816501 Cristiana Paris Zajac Licensed Vocational Nurse 2654 Worden St Unit 106, San Diego, CA 92110-5849 2020-06-18
1952922783 Rosalie Ramos Gayares Licensed Vocational Nurse Del Sur Crisis Center, San Diego, CA 92154 2020-05-04
1972138030 Lamarr Joyner Licensed Vocational Nurse 5930 Conerstone Court West, Suite 300, San Diego, CA 92121 2020-03-10
1720555659 Noelle Dizon Licensed Vocational Nurse 3585 Acacia St, San Diego, CA 92113-3130 2018-10-29
1285114728 Tashiya Jean Miller Licensed Vocational Nurse 3053 Chamoune Ave, San Diego, CA 92105-4307 2018-08-15
1013402445 Eduardo Carrera Licensed Vocational Nurse 11210 Corte Playa Corona, San Diego, CA 92124-4134 2018-06-27
1437651981 Phyllis Lynette Pryor Licensed Vocational Nurse 4974 El Cajon Blvd Suite A, San Diego, CA 92115 2018-03-01
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Competitor

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City SAN DIEGO
Zip Code 92123

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Dataset Information

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.

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