MRS. BRENDA L. BEBAL


Address: 10737 Camino Ruiz; Ste 235, Operation Samahan Health Clinic, San Diego, CA 92126
Phone: 8585784220

MRS. BRENDA L. BEBAL (NPI# 1336508506) 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) 1336508506
Entity Type Individual
Full Name MRS. BRENDA L. BEBAL
Credential FNP-C
Practice Address 10737 Camino Ruiz; Ste 235
Operation Samahan Health Clinic
San Diego
CA 92126
Practice Telephone 8585784220
Practice Fax Number 8585784417
Mailing Telephone 8585784220
Mailing Fax Number 8585784417
Enumeration Date 2016-02-17
Last Update Date 2017-04-12
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363LF0000X Nurse Practitioner
Specialization: Family
95003948 CA Physician Assistants & Advanced Practice Nursing Providers

Office Location

Street Address 10737 CAMINO RUIZ; STE 235
OPERATION SAMAHAN HEALTH CLINIC
City SAN DIEGO
State CA
Zip Code 92126

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1730741299 Eye Connection Optometry, Inc Optometrist 9516 Miramar Road, San Diego, CA 92126 2019-07-05
1811450935 Anne Phabmixay Student in an Organized Health Care Education/Training Program Douglas Young Wellness Center, 10717 Camino Ruiz Suite 207, San Diego, CA 92126 2019-04-08
1679035588 Emily Nguyen Registered Nurse 8210 Elston Place, San Diego, CA 92126 2019-04-01
1558832139 Dana Douglas-hiley Speech-Language Pathologist 9606 Tierra Grande St., Suite 107, San Diego, CA 92126 2018-12-08
1275022873 Breeann Nicole Poulson Speech-Language Pathologist 9466 Black Mountain Rd Suite 100, San Diego, CA 92126 2018-05-09
1659878882 My Phuong Thi Phan Registered Nurse 10938 Hyades Way, San Diego, CA 92126 2018-04-13
1083132153 Ruth Tamar Morales Occupational Therapist Children's Ot Services, Inc, 9606 Tierra Grande St., #104, San Diego, CA 92126 2017-09-08
1487184339 Chelsea Irene Johnson Marriage & Family Therapist 8670 New Salem St. Unit 106, San Diego, CA 92126 2017-06-14
1700245099 Naval Medical Center San Diego Pharmacy Mcas Miramar Exchange Pharmacy, Bldg 2660, San Diego, CA 92126 2016-02-16
1821464835 Anne Michelle Gungon Everhart Registered Nurse 10737 Camino Ruiz, Suite 235, Operation Samahan Community Health Center, San Diego, CA 92126 2015-08-12
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Taxonomy Information

Taxonomy Code 363LF0000X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Family

Taxonomy Definition

Definition to come...

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NPI Name Taxonomy Address Enumeration
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1083226245 Allison Floyd Nurse Practitioner 3652 Texas St, San Diego, CA 92104-4044 2020-08-19
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1134747595 Dawn Elyse Rose Nurse Practitioner 8260 Mira Mesa Blvd Ste A, San Diego, CA 92126-2662 2020-07-10
1982232591 John Meier Nurse Practitioner 3745 Riviera Dr Apt 10, San Diego, CA 92109-6661 2020-03-30
1013543008 Alex Choi Mara Nurse Practitioner 5248 Zephyr Ln Unit 24, San Diego, CA 92120-2749 2020-03-21
1669005021 Katlyn Ann Hartman Nurse Practitioner 1951 4th Ave, San Diego, CA 92101-2374 2020-02-13
1245876101 Katherine Baber Nurse Practitioner 3671 Fifth Ave, San Diego, CA 92103-4218 2019-11-25
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Competitor

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City SAN DIEGO
Zip Code 92126

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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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