NICOLE KATHLEEN KATHOL (NPI# 1265864268) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1265864268 |
| Entity Type | Individual |
| Full Name | NICOLE KATHLEEN KATHOL |
| Credential | PA-C, ASW |
| Practice Address |
278 Town Center Pkwy Ste 105 (s90) Santee CA 92071-5800 |
| Mailing Address |
10790 Rancho Bernardo Rd # 4s-205 San Diego CA 92127-5705 |
| Practice Telephone | 6197137880 |
| Mailing Telephone | 8586057171 |
| Enumeration Date | 2013-08-01 |
| Last Update Date | 2019-06-11 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 101YM0800X |
Counselor Specialization: Mental Health |
ASW62470 | CA | Behavioral Health & Social Service Providers |
| Y | 363AM0700X |
Physician Assistant Specialization: Medical |
PA56882 | CA | Physician Assistants & Advanced Practice Nursing Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 12170 Orgren Ave, Chino, CA 917102115 | 9518181781 | |
| 3002 Armstrong St, San Diego, CA 921115702 | 8586348319 | 8582792412 |
| Street Address |
278 TOWN CENTER PKWY STE 105 (S90) |
| City | SANTEE |
| State | CA |
| Zip Code | 92071-5800 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942285754 | Scripps Clinic Medical Group | Clinic/Center | 278 Town Center Pkwy, Santee, CA 92071-5800 | 2005-12-14 |
| 1376946962 | Elizabeth Lee | Physician Assistant | 278 Town Center Pkwy, Santee, CA 92071-5800 | 2014-09-27 |
| 1760764963 | Camille Estrada | Massage Therapist | 278 Town Center Pkwy, Suite 101, Santee, CA 92071-5800 | 2011-09-13 |
| 1740577535 | Erin Toole O'leary | Pediatrics | 278 Town Center Pkwy, Santee, CA 92071-5800 | 2011-06-30 |
| 1487946893 | Christopher Nerantzinis | Family Medicine | 278 Town Center Pkwy, Suite 105, Santee, CA 92071-5800 | 2011-05-04 |
| 1962630459 | Caroline Hootman | Massage Therapist | 278 Town Center Pkwy, Suite 101, Santee, CA 92071-5800 | 2009-06-23 |
| 1104036235 | David John Hawkins | Family Medicine | 278 Town Center Pkwy, Suite 105, Santee, CA 92071-5800 | 2007-05-24 |
| 1134215684 | Joyce M. Ildesa | Family Medicine | 278 Town Center Pkwy, Santee, CA 92071-5800 | 2006-10-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487277307 | Sjc Management and Consulting Corp | Pharmacy | 300 Lantern Crest Way Ste A, Santee, CA 92071 | 2020-05-27 |
| 1225662596 | Sharp Healthcare | Pharmacy | 8701 Cuyamaca Street, Santee, CA 92071 | 2020-02-26 |
| 1962975920 | Santee Community Pharmacy, Inc. | Pharmacy | 9836 Magnolia Ave., Santee, CA 92071 | 2019-01-02 |
| 1073095428 | Rohshana Plunkett | Dental Assistant | 9717 Mission Gorge Rd, Santee, CA 92071 | 2018-09-02 |
| 1285144071 | Victoria Koci | Behavioral Analyst | 10636 Queen Jessica Ln, Santee, CA 92071 | 2017-10-05 |
| 1699214478 | Glenn C. Ashmore Dds, Inc. | Dentist | 9480 Cuyamaca Street, San Diego, CA 92071 | 2017-02-14 |
| 1609328517 | Daniel Burciaga | Specialist/Technologist | 9915 N Magnolia Ave, Santee, CA 92071 | 2016-10-26 |
| 1861940355 | Carlos Garcia Jr. | Technician, Other | 10445 Mast Blvd # 11, Santee, CA 92071 | 2016-09-14 |
| 1962855205 | Universal Medical Solutions LLC | Durable Medical Equipment & Medical Supplies | 10020 Prospect Ave Ste A1, Santee, CA 92071 | 2016-07-22 |
| 1568871861 | Mark Adam Frens | Physical Therapist | 9236 Lapeer Ct, Santee, CA 92071 | 2014-08-12 |
| Find all providers in zip 92071 | ||||
| Taxonomy Code | 363AM0700X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Medical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902149495 | Kristen Ann Trower | Physician Assistant | 9745 Prospect Ave Ste 100, Santee, CA 92071-4273 | 2013-04-03 |
| 1467982348 | Rebecca Tiger | Physician Assistant | 10538 Mission Gorge Rd Ste 100, Santee, CA 92071-3154 | 2017-06-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760089437 | Karine Harutyunyan | Physician Assistant | 500 E Colorado St Ste 101, Glendale, CA 91205-1607 | 2020-10-06 |
| 1437756228 | Kale Burket | Physician Assistant | Bldg 523, S 8th St, El Centro, CA 92243 | 2020-10-05 |
| 1548867666 | Heba Marzouk Al-shoubaki | Physician Assistant | 633 S Pepper St, Anaheim, CA 92802-1459 | 2020-10-01 |
| 1275140550 | Lisa Lynn Passalacqua | Physician Assistant | 431 7th St, Norco, CA 92860-1671 | 2020-09-30 |
| 1144833989 | Trisha Taylor | Physician Assistant | 10399 Tivoli Way, Yucaipa, CA 92399-6017 | 2020-08-30 |
| 1457963944 | Harlan William Monahan | Physician Assistant | 5210 Del Rio Rd, Sacramento, CA 95822-2519 | 2020-08-18 |
| 1275144313 | Sofia Carmen Bustillo | Physician Assistant | 1709 Coral Pl, Seal Beach, CA 90740-5712 | 2020-08-12 |
| 1124638663 | Gayaneh Gharakhani | Physician Assistant | 1323 E Broadway Apt 110, Glendale, CA 91205-4018 | 2020-08-07 |
| 1144830183 | Loc Bao Tran | Physician Assistant | 8937 Emerson Pl, Rosemead, CA 91770-2813 | 2020-08-04 |
| 1558997957 | Sarah Lubinsky | Physician Assistant | 1511 Montana Ave, Santa Monica, CA 90403-1891 | 2020-03-17 |
| Find all providers with the same taxonomy | ||||
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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.