MS. SUSAN GRACE LECKBAND (NPI# 1306843206) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1306843206 |
| Entity Type | Individual |
| Full Name | MS. SUSAN GRACE LECKBAND |
| Credential | RPH, BCPP |
| Practice Address |
3350 La Jolla Village Dr 119 La Jolla CA 92037-1806 |
| Practice Telephone | 8585528585 |
| Practice Fax Number | 8585524336 |
| Mailing Telephone | 8585528585 |
| Mailing Fax Number | 8585524336 |
| Enumeration Date | 2005-07-07 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1835P1300X |
Pharmacist Specialization: Psychiatric |
47907 | CA | Pharmacy Service Providers |
| Street Address |
3350 LA JOLLA VILLAGE DR 119 |
| City | LA JOLLA |
| State | CA |
| Zip Code | 92037-1806 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033321211 | Marianne Fahmy | Internal Medicine | 3350 La Jolla Village Dr, La Jolla, CA 92037-1806 | 2007-05-03 |
| 1588784615 | Julie Howe Turner | Dietitian, Registered | 3350 La Jolla Village Dr, La Jolla, CA 92037-1806 | 2007-03-30 |
| 1427182922 | Jignesh Patel | Pharmacist | 3350 La Jolla Village Dr, La Jolla, CA 92037-1806 | 2007-03-15 |
| 1689755720 | Hilda Klara Thorisdottir | Internal Medicine | 3350 La Jolla Village Dr, 111 N, La Jolla, CA 92037-1806 | 2006-10-17 |
| 1083714398 | Sebastian Obrzut | Specialist | 3350 La Jolla Village Dr, Va Healthcare, Nuclear Medicine, Room 4516, La Jolla, CA 92037-1806 | 2006-09-25 |
| 1619079464 | Ucsd | Psychiatric Unit | 3350 La Jolla Village Dr, Mail Code 116-a, La Jolla, CA 92037-1806 | 2006-09-02 |
| 1023129046 | Angela Joseph | Registered Nurse | 3350 La Jolla Village Dr, La Jolla, CA 92037-1806 | 2006-08-31 |
| 1275642175 | David K. Welsh | Psychiatry & Neurology | 3350 La Jolla Village Dr, Va San Diego Healthcare System, Psychiatry, V-116a, La Jolla, CA 92037-1806 | 2006-08-30 |
| 1285744326 | San Diego Va Healthcare System | Clinic/Center | 3350 La Jolla Village Dr, La Jolla, CA 92037-1806 | 2006-08-30 |
| 1124133897 | Catherine Mcdeed-breault | Nurse Practitioner | 3350 La Jolla Village Dr, La Jolla, CA 92037-1806 | 2006-08-20 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982221768 | Equip Health Medical, PC | Clinic/Center | 2674 Costebelle Drive, Unit A, La Jolla, CA 92037 | 2020-06-29 |
| 1134745474 | Brenda Kay Wiederhold | Psychologist | Virtual Reality Medical Center, 9834 Genesee Avenue, Suite 427, La Jolla, CA 92037 | 2020-06-23 |
| 1316581598 | Kathleen M Blechertas | Physical Therapist | 9888 Genesee, Lj19, La Jolla, CA 92037 | 2019-10-31 |
| 1316592876 | Kevin Yanyan Li | Student in an Organized Health Care Education/Training Program | 9300 Campus Point Drive, Mc7400, La Jolla, CA 92037 | 2019-08-01 |
| 1407400542 | Juan J Salmeron | Dentist | Callejin Internacional 351 L2, Los Algodones, BAJA CALIFORNIA 92037 | 2019-07-26 |
| 1609428598 | Nicole Whitney Mark | Physician Assistant | 8103 Caminito Sonoma, La Jolla, CA 92037 | 2019-07-11 |
| 1700357936 | Cecelia Rose Greene/pendzich | Mastectomy Fitter | 7760 Fay Ave, Suite M., La Jolla, CA 92037 | 2018-12-16 |
| 1740765890 | Jeenal Ankit Gordhandas | Student in an Organized Health Care Education/Training Program | East Campus Office Building, Medical Center Dr, La Jolla, CA 92037 | 2018-09-25 |
| 1306325220 | Lisa Beth Perlov Marks | Marriage & Family Therapist | 7734 Hershel Avenue, Suite O, La Jolla, CA 92037 | 2018-08-10 |
| 1023596731 | Uc San Diego, Pathology Dept | Pathology | East Campus Office Building, Medical Center Dr, San Diego, CA 92037 | 2018-08-03 |
| Find all providers in zip 92037 | ||||
| Taxonomy Code | 1835P1300X |
| Grouping | Pharmacy Service Providers |
| Classification | Pharmacist |
| Specialization | Psychiatric |
| A licensed pharmacist who has demonstrated specialized knowledge and skill in optimizing care of patients with psychiatric illness by assessing and monitoring patients, recognizing drug-induced problems, and recommending appropriate treatment plans. |
| Notes: Source: Specialty certification and recertification program administered by Board of Pharmaceutical Specialties, www.bpsweb.org [7/1/2006: modified title, added definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205457918 | Abdulla Nooristani | Pharmacist | 3630 Business Dr Ste D, Sacramento, CA 95820-2179 | 2020-05-04 |
| 1811534878 | Susan Lee | Pharmacist | 9362 Canterbury Ln, Garden Grove, CA 92841-3415 | 2019-12-09 |
| 1669963294 | Geoffrey Charles Henrietta | Pharmacist | 19205 Almond Rd, Castro Valley, CA 94546-3033 | 2018-05-18 |
| 1689034498 | Meredyth Keast-devine | Pharmacist | 4875 Shadow Canyon Rd Bldg B, Templeton, CA 93465-9714 | 2016-03-07 |
| 1922330638 | Christopher Ching | Pharmacist | 1380 Howard St # 130, San Francisco, CA 94103-2638 | 2010-02-04 |
| 1588856850 | Luriko Jean Ajari | Pharmacist | 2356 Sutter Street, Fourth Floor, San Francisco, CA 94115-1648 | 2007-08-10 |
| 1104020841 | Mark David Watanabe | Pharmacist | 1380 Howard St Rm 130, San Francisco, CA 94103 | 2007-06-14 |
| 1568672400 | Van Viet Do | Pharmacist | 2418 Hummel Ct, San Jose, CA 95148-2510 | 2007-05-22 |
| 1861610693 | Bruce David Miller | Pharmacist | 3057 S Higuera St, Spc # 53, San Luis Obispo, CA 93401-6625 | 2007-04-24 |
| 1316009830 | Michael Francis Pondrom | Pharmacist | 590 N Vermont Ave, Los Angeles, CA 90004-2115 | 2006-12-14 |
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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.