MOLLY WILLIS


Address: 140 Arbor Dr, San Diego, CA 92103-2007
Phone: 6195437795

MOLLY WILLIS (NPI# 1275921264) 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) 1275921264
Entity Type Individual
Full Name MOLLY WILLIS
Practice Address 140 Arbor Dr
San Diego
CA 92103-2007
Practice Telephone 6195437795
Mailing Telephone 6195436699
Enumeration Date 2014-12-30
Last Update Date 2016-12-13
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 163W00000X Registered Nurse 95042597 CA Nursing Service Providers
Y 363LP0808X Nurse Practitioner
Specialization: Psych/Mental Health
95004719 CA Physician Assistants & Advanced Practice Nursing Providers

Other Provider Identifier

State Issuer Identifier Type Code
CA CALIFORNIA BOARD OF REGISTERED NURSING 95042597 01
CA CALIFORNIA BOARD OF REGISTERED NURSING 95004719 01

Other Providers MOLLY WILLIS

NPI Name Taxonomy Address Enumeration
1023411980 Molly Willis Physician Assistant 3000 Hospital Dr, Batavia, OH 45103-1921 2014-10-06

Office Location

Street Address 140 ARBOR DR
City SAN DIEGO
State CA
Zip Code 92103-2007

Providers in the same location

NPI Name Taxonomy Address Enumeration
1538126644 Giovanna G Zerbi Psychologist 140 Arbor Dr, San Diego, CA 92103-2007 2006-05-01
1790313286 Natalie Beth Fettinger Student in an Organized Health Care Education/Training Program 140 Arbor Dr, San Diego, CA 92103-2007 2020-03-30
1538790605 Kat Tupas Balingit Nurse Practitioner 140 Arbor Dr, San Diego, CA 92103-2007 2020-01-28
1134763659 Juliann Michelle Hatt Registered Nurse 140 Arbor Dr, San Diego, CA 92103-2007 2019-10-29
1760026272 Connie Quach Registered Nurse 140 Arbor Dr, San Diego, CA 92103-2007 2019-10-29
1588208094 Olivia Jane Kearnes Registered Nurse 140 Arbor Dr, San Diego, CA 92103-2007 2019-10-29
1316581812 Kelvin Ka-fai Poon Registered Nurse 140 Arbor Dr, San Diego, CA 92103-2007 2019-10-29
1255975769 Molly Snell Registered Nurse 140 Arbor Dr, San Diego, CA 92103-2007 2019-10-29
1336783836 Frances Starling Campbell Registered Nurse 140 Arbor Dr, San Diego, CA 92103-2007 2019-10-29
1922651256 Shelly Stewart Marriage & Family Therapist 140 Arbor Dr, San Diego, CA 92103-2007 2019-07-16
Find all providers in the same location

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1174140057 Carmel Agdeppa Acupuncturist Chiropractique, 813 West Washington St., San Diego, CA 92103 2020-06-26
1568082717 Salina Ann Bambic Social Worker 302 Washington Street Suite 420, San Diego, CA 92103 2020-04-17
1467099432 Lina Hong Behavior Technician 3731 6th Ave. Suite 100, San Diego, Ca 92103, San Diego, CA 92103 2019-12-09
1154964567 Rodger Stacy Questin, Psychologist P.C. Psychologist 440 Upas St Apt 402, San Diego, CA 92103 2019-10-18
1932740388 Grace Tong-ventura Pharmacist 200 W. Arbor Drive, #8765, Suite 1-317, San Diego, CA 92103 2019-10-07
1306490453 Genevieve Cheung Pharmacist 200 W Arbor Dr #8765, Department of Pharmacy, San Diego, CA 92103 2019-07-26
1801356837 Marika Doviak Acupuncturist 2370 Hickory St, San Diego, CA 92103 2019-03-25
1982185070 Tyler Lewis Roberts Counselor 4303 3rd Ave, San Diego, CA 92103 2018-08-27
1689151284 Tori Breanne Blackwell Occupational Therapist 3731-a 6th Avenue, San Diego, CA 92103 2018-07-26
1952892614 Pacific Bay Recovery Inc Substance Abuse Rehabilitation Facility 4095 Jackdaw St, San Diego, CA 92103 2018-05-29
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Taxonomy Information

Taxonomy Code 363LP0808X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Psych/Mental Health

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1609431196 Tanya Denise Stevenson-gaines Nurse Practitioner 13988 Royal Melbourne Sq, San Diego, CA 92128-3646 2019-05-09
1457788598 Christopher John Reddin Nurse Practitioner Naval Medical Center San Diego C I D, 34800 Bob Wilson Drive, San Diego, CA 92134-0001 2013-10-03
1356650634 Jamie M Sorenson Nurse Practitioner Center Star Act Mental Health Systems, 4283 El Cajon Blvd, Suite 115, San Diego, CA 92105-0001 2010-10-04
1023345204 Nelda K. Coleman Nurse Practitioner 4715 Viewridge Avenue, Suite 230, San Diego, CA 92123 2009-11-10
1972506483 Steven G Hogan Nurse Practitioner 8810 Rio San Diego Dr, San Diego, CA 92108-1698 2005-05-30
1396358024 Stephanie Joyce Reed Nurse Practitioner 2630 1st Ave, San Diego, CA 92103-6599 2020-08-24
1104442185 Joshua Don Dougherty Nurse Practitioner 1550 Hotel Cir N Ste 450, San Diego, CA 92108-2933 2020-06-24
1801422258 Safiya Damali Daley Nurse Practitioner 1675 Morena Blvd, San Diego, CA 92110-3703 2020-03-17
1083247779 Fernando Ebeo Serrano Jr. Nurse Practitioner 3491 Kurtz St Ste 150, San Diego, CA 92110-4430 2020-02-20
1538790605 Kat Tupas Balingit Nurse Practitioner 140 Arbor Dr, San Diego, CA 92103-2007 2020-01-28
Find all providers in SAN DIEGO

Competitor

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City SAN DIEGO
Zip Code 92103

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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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