ZHIKE PRUETT


Address: 4060 Fourth Ave, Suite 220, San Diego, CA 92103-2116
Phone: 8662842771

ZHIKE PRUETT (NPI# 1295086262) 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) 1295086262
Entity Type Individual
Full Name ZHIKE PRUETT
Credential N.P.
Practice Address 4060 Fourth Ave
Suite 220
San Diego
CA 92103-2116
Mailing Address 9610 Granite Ridge Dr
Suite B
San Diego
CA 92123-2684
Practice Telephone 8662842771
Practice Fax Number 6192978379
Mailing Telephone 8662842771
Mailing Fax Number 8582681911
Enumeration Date 2012-09-30
Last Update Date 2020-07-08
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363L00000X Nurse Practitioner 22373 CA Physician Assistants & Advanced Practice Nursing Providers

Office Location

Street Address 4060 FOURTH AVE
SUITE 220
City SAN DIEGO
State CA
Zip Code 92103-2116

Providers in the same location

NPI Name Taxonomy Address Enumeration
1134112626 Jeffrey Robert Toman Surgery 4060 Fourth Ave, Suite 510, San Diego, CA 92103-2116 2005-08-30
1942620463 Gastroenterology and Hepatology Medical Associates Exclusive Provider Organization 4060 Fourth Ave, Suite 240, San Diego, CA 92103-2116 2014-04-23
1861739690 Katelyn Passey Pe Clinical Nurse Specialist 4060 Fourth Ave, Suite 240, San Diego, CA 92103-2116 2013-01-14
1821382573 Tammy Pham, M.d., Inc. Obstetrics & Gynecology 4060 Fourth Ave, Suite 610, San Diego, CA 92103-2116 2011-05-30
1497056386 H. Randall Hicks, M.d. Inc, H Randall Hicks Pres Psychiatry & Neurology 4060 Fourth Ave, Suite 615, San Diego, CA 92103-2116 2010-11-08
1700190642 Jeffry A Mullvain Md Inc Internal Medicine 4060 Fourth Ave, Suite 500, San Diego, CA 92103-2116 2010-08-03
1508170564 Emily Dyson Scott Md F A C C Inc Internal Medicine 4060 Fourth Ave, Suite 500, San Diego, CA 92103-2116 2010-08-02
1437481942 Jeffrey R. Toman, M.d., P.C. Colon & Rectal Surgery 4060 Fourth Ave, Suite 510, San Diego, CA 92103-2116 2010-02-08
1497997472 Jess Aaron Zlotnik Psychologist 4060 Fourth Ave, Suite 615, San Diego, CA 92103-2116 2009-04-06
1235375429 Melissa Janovitch Physician Assistant 4060 Fourth Ave, Suite 415, San Diego, CA 92103-2116 2008-12-18
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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 363L00000X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner

Taxonomy Definition

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
Notes: Source: (1) American Nurses’ Association, American Nurses Credentialing Center, 1996 Certification Catalogue. (2) ) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 549.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1417560467 Helen Regina Stearns Nurse Practitioner 8797 Encino Ave, San Diego, CA 92123-3952 2020-08-28
1346852480 Jenna Juenger Nurse Practitioner 10665 Calle Mar De Mariposa Apt 3215, San Diego, CA 92130-8730 2020-08-19
1750908414 Deborah Lynne Monaghan Nurse Practitioner 14471 Via Venezia Apt 601, San Diego, CA 92129-1657 2020-06-29
1780211300 Amanda Renee Phillips Nurse Practitioner 3034 Horton Ave, San Diego, CA 92103-6008 2020-03-24
1538792304 Allison D White Nurse Practitioner 726 W Pennsylvania Ave, San Diego, CA 92103-3804 2020-02-19
1356981351 Jordan Rae Burke Nurse Practitioner 11943 El Camino Real Ste 100, San Diego, CA 92130-2597 2020-01-08
1598319436 Madison Taylor Shreeve Nurse Practitioner 3435 Del Mar Heights Rd # D6a, San Diego, CA 92130-2225 2019-07-29
1659930485 Lovella Medilo Nurse Practitioner 4033 3rd Ave Ste 430, San Diego, CA 92103-2117 2019-06-05
1306300272 Stephanie O'brien Sramek Nurse Practitioner 4077 5th Ave # Ems, San Diego, CA 92103-2105 2019-01-25
1467930875 Reliable Care Md On The Go Nurse Practitioner 4565 Ruffner St Ste 201, San Diego, CA 92111-2259 2018-07-30
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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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