BRIAN R WHITE (NPI# 1336677889) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1336677889 |
| Entity Type | Individual |
| Full Name | BRIAN R WHITE |
| Practice Address |
3760 Convoy St Ste 204 San Diego CA 92111-3744 |
| Mailing Address |
5880 Lochmoor Dr Apt 46 Riverside CA 92507-8511 |
| Practice Telephone | 8585140375 |
| Mailing Telephone | 8173570702 |
| Enumeration Date | 2017-05-29 |
| Last Update Date | 2017-05-29 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2251G0304X |
Physical Therapist Specialization: Geriatrics |
292798 | CA | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801369095 | Brian White | Counselor | 334 Agriculture Dr # 845, Monroeville, AL 36460-8691 | 2019-01-10 |
| 1912474305 | Brian A White | Behavior Technician | 6n202 Boxwood Ln, St Charles, IL 60175-8327 | 2018-10-24 |
| 1144394958 | Brian Paul White | Chiropractor | 3405 Kenyon Street, Suite 206, San Diego, CA 92110 | 2006-11-20 |
| 1821106725 | Brian White | Social Worker | 259 W Main St, Decaturville, TN 38329-8033 | 2006-08-29 |
| 1710937610 | Brian Andrew White | Nurse Practitioner | 8108 N Nebraska Ave, Tampa, FL 33604-3103 | 2006-05-11 |
| 1598767865 | Brian John White | Internal Medicine | 27 Livingston Mnr, Dobbs Ferry, NY 10522-1729 | 2005-06-01 |
| 1669002325 | Brian D White | Counselor | 3900 S Stonebridge Dr, Mckinney, TX 75070-7899 | 2020-01-22 |
| 1639711567 | Brian White | Behavioral Analyst | 4600 Forest Hill Ave, Richmond, VA 23225-3246 | 2019-10-11 |
| 1942760715 | Brian Michael White | Internal Medicine | 2160 S 1st Ave, Maywood, IL 60153-3328 | 2019-03-20 |
| 1396218566 | Brian Tyrell White | Peer Specialist | 1007 Koala Dr, Omak, WA 98841-9247 | 2019-01-09 |
| Street Address |
3760 CONVOY ST STE 204 |
| City | SAN DIEGO |
| State | CA |
| Zip Code | 92111-3744 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518146067 | Arlin C Libertino | Physical Therapist | 3760 Convoy St Ste 204, San Diego, CA 92111-3744 | 2007-11-01 |
| 1265086243 | Rebecca Edith Buza | Occupational Therapist | 3760 Convoy St Ste 204, San Diego, CA 92111-3744 | 2019-07-29 |
| 1407311640 | Natalie Jean Sullivan | Speech-Language Pathologist | 3760 Convoy St Ste 204, San Diego, CA 92111-3744 | 2019-02-01 |
| 1164926218 | Katherine Joan Simmons | Speech-Language Pathologist | 3760 Convoy St Ste 204, San Diego, CA 92111-3744 | 2018-03-22 |
| 1881114163 | Cynthia Yonan | Speech-Language Pathologist | 3760 Convoy St Ste 204, San Diego, CA 92111-3744 | 2017-06-27 |
| 1538689013 | Anna Magnuson | Occupational Therapist | 3760 Convoy St Ste 204, San Diego, CA 92111-3744 | 2017-06-26 |
| 1265960991 | Catherine Rostan | Speech-Language Pathologist | 3760 Convoy St Ste 204, San Diego, CA 92111-3744 | 2017-05-25 |
| 1811425549 | Casey Elizabeth Converse | Occupational Therapist | 3760 Convoy St Ste 204, San Diego, CA 92111-3744 | 2017-05-25 |
| 1982145397 | Kelly Tyler | Occupational Therapist | 3760 Convoy St Ste 204, San Diego, CA 92111-3744 | 2017-03-17 |
| 1679010151 | Krystle Desquitado | Physical Therapist | 3760 Convoy St Ste 204, San Diego, CA 92111-3744 | 2017-01-23 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982220653 | Karen Elizabeth Mitchell | Registered Nurse | County of San Diego California Children's Services (ccs, 6991 Balboa Ave, (room 70), San Diego, CA 92111 | 2020-06-18 |
| 1912523804 | Access Medical, Inc. | Durable Medical Equipment & Medical Supplies | 4150 Convoy Street, Suite A, San Diego, CA 92111 | 2020-06-17 |
| 1154944551 | Mei Ling Milan Szeto | Student in an Organized Health Care Education/Training Program | 7917 Ostrow Street, Suite A, San Diego, CA 92111 | 2020-05-20 |
| 1346893831 | Leticia Isabel Peralta | Assistant Behavior Analyst | 563 Balboa Avenue. Number 521, San Diego, CA 92111 | 2019-07-23 |
| 1295204394 | Demetria Serfas | Behavioral Analyst | 563 Balboa Ave #521, San Diego, CA 92111 | 2018-11-19 |
| 1568981678 | Ross Psychology | Psychologist | 4883 Ronson Court, Suite K, San Diego, CA 92111 | 2017-09-11 |
| 1225554587 | Bianca Acosta | Technician, Other | 563 Balboa Ave. #521, San Diego, CA 92111 | 2017-08-18 |
| 1194240085 | Kazuhiro Kato | Dentist | 3707 Convoy St., San Diego, CA 92111 | 2017-08-11 |
| 1073038527 | Joanne Epps-yentz | Licensed Vocational Nurse | 7414 Mesa College Dr. Apt 47, San Diego, CA 92111 | 2017-08-06 |
| 1184158446 | Positive Behavior Supports Corp | Community/Behavioral Health | 563 Balboa Ave, 521, San Diego, CA 92111 | 2017-04-13 |
| Find all providers in zip 92111 | ||||
| Taxonomy Code | 2251G0304X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Physical Therapist |
| Specialization | Geriatrics |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144767468 | George Justin Petersen | Physical Therapist | 3064 Fried Ave, San Diego, CA 92122-2235 | 2017-01-24 |
| 1164810586 | Maritess Kennedy | Physical Therapist | 16705 Prairie Fawn Ct, San Diego, CA 92127-3408 | 2015-01-07 |
| 1699117002 | Rogelio Bautista | Physical Therapist | 3703 Lindbergh St, San Diego, CA 92154-1654 | 2013-07-25 |
| 1588282594 | Chr Physical Therapy | Physical Therapist | 2694 Escala Cir, San Diego, CA 92108-6720 | 2020-07-07 |
| 1619338522 | Krista Hambley | Physical Therapist | 3760 Convoy St Ste 204, San Diego, CA 92111-3744 | 2016-03-19 |
| 1851765457 | Carrie Johnston | Physical Therapist | 13101 Hartfield Ave, San Diego, CA 92130-1511 | 2015-11-19 |
| 1326429374 | Rosebelle Sotto | Physical Therapist | 18655 W Bernardo Dr, San Diego, CA 92127-3002 | 2015-06-16 |
| 1861892598 | Kevin Branscum | Physical Therapist | 9089 Clairemont Mesa Blvd Ste 200, San Diego, CA 92123-1225 | 2014-08-29 |
| 1881940708 | April Ann Hoffman | Physical Therapist | 3760 Convoy St Ste 204, San Diego, CA 92111-3744 | 2012-07-29 |
| 1437405420 | Lenda Earl | Physical Therapist | 3760 Convoy St, Suite 204, San Diego, CA 92111-3742 | 2012-07-27 |
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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.