MOBILE WOUND CARE-SAN DIEGO ND (NPI# 1295273639) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1295273639 |
Entity Type | Organization |
Organization Name | MOBILE WOUND CARE-SAN DIEGO ND |
Practice Address |
1415 Santa Diana Rd Chula Vista CA 91913-2745 |
Mailing Address |
1415 Santa Diana Rd Unit 9 Chula Vista CA 91913-2745 |
Practice Telephone | 7029273599 |
Enumeration Date | 2017-02-06 |
Last Update Date | 2017-02-07 |
Authorized Official Name | NHI DAI (PHYSICIAN ASSISTANT- CERTIFIED) |
Authorized Official Telephone | 7029273599 |
Authorized Official Credential | PA-C |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 363AM0700X |
Physician Assistant Specialization: Medical |
54015 | CA | Physician Assistants & Advanced Practice Nursing Providers |
Street Address |
1415 SANTA DIANA RD |
City | CHULA VISTA |
State | CA |
Zip Code | 91913-2745 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1093253338 | Nhi Dai | Physician Assistant | 1415 Santa Diana Rd, 9, Chula Vista, CA 91913-2745 | 2017-02-07 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1134774342 | Tiffany Sheffield | Physical Therapist | 1392 E Palomar Street, Suite 503, Chula Vista, CA 91913 | 2019-08-05 |
1710457379 | Jacqueline Rae Dagostino | Physical Therapist | 1392 E Palomar St Suite 503, Chula Vista, CA 91913 | 2018-11-27 |
1750806840 | Evette Pablo | Registered Nurse | 904 Saint Germain Road, Chula Vista, CA 91913 | 2017-08-09 |
1760912364 | Ferdinand San Jose | Registered Nurse | 1954 Marquis Court, Chula Vista, CA 91913 | 2017-06-15 |
1447640693 | Ian Christopher So Ignacio | Occupational Therapy Assistant | 1575 Golden Gate Ave, Chula Vista, CA 91913 | 2015-01-27 |
1396154274 | Helen Moreno | Dentist | 2009 Chardonnay Terrace, Chula Vista, CA 91913 | 2014-08-05 |
1801232236 | Edgar N Ibay | Military Health Care Provider | 1992 Caminito De La Cruz, Chula Vista, CA 91913 | 2013-05-13 |
1699093765 | Medical Logistics Management Inc. | Ambulance | 3130 Bonita Rd., Chula Vista, CA 91913 | 2010-05-13 |
1295066959 | Candice Aquino Claudio | Physical Therapist | 1400 E. Palomar, Chula Vista, CA 91913 | 2010-01-20 |
1417136128 | Alshafie Mohamed Hassan | Internal Medicine | 1400 East Palomar Street, Chula Vista, CA 91913 | 2007-10-30 |
Find all providers in zip 91913 |
Taxonomy Code | 363AM0700X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Physician Assistant |
Specialization | Medical |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1922505775 | Christopher B Vargas | Physician Assistant | 2452 Fenton St Ste C203, Chula Vista, CA 91914-3599 | 2018-04-09 |
1790912103 | Angela Iskandar Anak-agung-gede | Physician Assistant | 480 4th Avenue, Suite 307, Chula Vista, CA 91910 | 2009-06-12 |
1790905438 | Nercy Manez | Physician Assistant | 2015 Birch Rd, Suite 509, Chula Vista, CA 91915-2002 | 2007-04-26 |
1306470372 | Rachel Todd | Physician Assistant | 480 4th Ave Ste 307, Chula Vista, CA 91910-4403 | 2020-02-27 |
1902359607 | Laura Bradley | Physician Assistant | 480 4th Ave, Suite 307, Chula Vista, CA 91910-4410 | 2016-07-28 |
1306202320 | Jennifer Leigh Willins | Physician Assistant | 1295 Broadway, Chula Vista, CA 91911-2982 | 2016-01-06 |
1407211881 | Ernest Ritualo Mejia | Physician Assistant | 480 4th Ave, Suite 202, Chula Vista, CA 91910-4410 | 2015-12-29 |
1518375179 | Heather Doulaki | Physician Assistant | 971 Lane Ave, Chula Vista, CA 91914-3501 | 2014-07-28 |
1417223165 | Jeanna Cash Tapia | Physician Assistant | 2452 Fenton St, Suite C101, Chula Vista, CA 91914-3599 | 2012-03-27 |
1639459720 | Eric R Briones | Physician Assistant | 1400 E Palomar St, Chula Vista, CA 91913-1800 | 2011-08-22 |
Find all providers in CHULA VISTA |
City | CHULA VISTA |
Zip Code | 91913 |
Please comment or provide details below to improve the information on MOBILE WOUND CARE-SAN DIEGO ND.
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.