TARA L BROWN (NPI# 1356430797) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1356430797 |
| Entity Type | Individual |
| Full Name | TARA L BROWN |
| Credential | MD |
| Practice Address |
11770 Bernardo Plaza Court Suite 315 San Diego CA 92128 |
| Practice Telephone | 8584875090 |
| Practice Fax Number | 6194602184 |
| Mailing Telephone | 8584875090 |
| Mailing Fax Number | 6194602184 |
| Enumeration Date | 2006-10-12 |
| Last Update Date | 2017-01-25 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207W00000X | Ophthalmology | A85440 | CA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | MEDICARE DME | 0802380001 | 01 |
| CA | MEDICARE DME | 0802400001 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982216123 | Tara Brown | Technician | 2007 Goldwire Trce, Birmington, AL 35211 | 2020-08-19 |
| 1366861221 | Tara Elizabeth Brown | Internal Medicine | 8901 Wisconsin Avenue Walter Reed Nmmc, Bethesda, MD 20889 | 2014-04-08 |
| 1487924296 | Tara Brown | Case Manager/Care Coordinator | 20302 Colonel Glenn Rd., Little Rock, AR 72210 | 2012-01-10 |
| 1558644872 | Tara Leeshanda Brown | Nurse's Aide | 2209 S 34th St Apt A, Fort Pierce, FL 34947-4526 | 2011-09-22 |
| 1144508367 | Tara Brown | Counselor | 604 Seminole Dr, Pauls Valley, OK 73075-6424 | 2011-07-22 |
| 1265609754 | Tara Daphne Brown | Speech-Language Pathologist | 7527 W Legacy St, Sioux Falls, SD 57106-7710 | 2008-05-13 |
| 1477755825 | Tara Ladawn Brown | Occupational Therapist | 29445 W 199th St, Gardner, KS 66030-9514 | 2007-06-05 |
| 1811076003 | Tara D Brown | Specialist/Technologist | 1567 Rome Hwy, Cedartown, GA 30125-4402 | 2006-11-06 |
| 1093824195 | Tara Dawn Brown | Optometrist | 2915 Pine Ridge Rd, Oklahoma City, OK 73120-6111 | 2006-08-30 |
| 1538768411 | Tara Lynn Brown | Pharmacist | 10000 Bartel Blvd, Galena, IL 61036-8219 | 2020-10-21 |
| Street Address |
11770 BERNARDO PLAZA COURT SUITE 315 |
| City | SAN DIEGO |
| State | CA |
| Zip Code | 92128 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194771956 | Stephen F Signer | Psychiatry & Neurology | 11770 Bernardo Plaza Court, Suite 370, San Diego, CA 92128-2426 | 2006-05-25 |
| 1841230778 | Helen Davis | Marriage & Family Therapist | 11770 Bernardo Plaza Court, Suite 370, San Diego, CA 92128-2426 | 2006-06-08 |
| 1689614612 | Jeffrey B Hersh | Psychologist | 11770 Bernardo Plaza Court, Suite 370, San Diego, CA 92128-2426 | 2006-06-07 |
| 1578510301 | Alicia Eisenstadt | Marriage & Family Therapist | 11770 Bernardo Plaza Court, #370, San Diego, CA 92128-2426 | 2006-05-27 |
| 1154377901 | George Koumaras | Psychologist | 11770 Bernardo Plaza Court, Suite 370, San Diego, CA 92128-2426 | 2006-05-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518585371 | Alicia Ford | Behavior Technician | 1170 Bernardo Plaza Court, Suite 350, San Diego, CA 92128 | 2020-07-08 |
| 1164087573 | Madeleine White | Dietitian, Registered | 16685 W Bernardo Dr, Suite 121, San Diego, CA 92128 | 2019-05-01 |
| 1053807677 | Joele Ghosn | Speech-Language Pathologist | 11838 Bernardo Plaza Ct #110, San Diego, CA 92128 | 2018-07-06 |
| 1376034348 | Eddie Reginald Burston II | In Home Supportive Care | 12727 Camino Emparrado, San Diego, CA 92128 | 2018-05-24 |
| 1336659218 | Ryan Fong | Physician Assistant | 15004 Innovation Drive (s97), San Diego, CA 92128 | 2017-10-05 |
| 1508316191 | Araceli Flores | Behavioral Analyst | 15737 Innovation Dr, Suite 200, San Diego, CA 92128 | 2016-10-07 |
| 1003283961 | Katherine Dishner | Hearing Instrument Specialist | 16766 Bernardo Center Dr Ste 206, San Diego, CA 92128 | 2015-08-27 |
| 1205212586 | Mobilia Dmd Inc. | Point of Service | 12405 Rancho Bernardo Rd., San Diego, CA 92128 | 2015-08-10 |
| 1346623634 | Angela Christine Storck-petersen | Dietitian, Registered | 11768 Caminito Corriente, San Diego, CA 92128 | 2015-07-04 |
| 1134526874 | Breeana Rose Lancaster | Speech-Language Pathologist | 11838 Bernardo Plaza Ct. Suite 110, Kids Therapy Associates, San Diego, CA 92128 | 2014-11-24 |
| Find all providers in zip 92128 | ||||
| Taxonomy Code | 207W00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Ophthalmology |
| An ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Ophthalmology, 2007. http://www.abop.org/. American Osteopathic Board of Ophthalmology and Otolaryngology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Ophthalmology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Ophthalmology and Otolaryngology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700496320 | William Thomas Parker | Ophthalmology | 5279 Gaylord Pl, San Diego, CA 92117-1034 | 2020-08-07 |
| 1932763042 | Logan M. Haak, M.d., Inc. | Ophthalmology | 1855 1st Ave # 200b, San Diego, CA 92101-2685 | 2019-04-24 |
| 1871009001 | Glenn Paul Goltz | Ophthalmology | 4240 Arguello St, San Diego, CA 92103-1506 | 2017-12-26 |
| 1790232015 | Coastal Skin and Eye Institute, Inc. | Ophthalmology | 5550 Carmel Mountain Road, Suite 206, San Diego, CA 92130 | 2016-09-02 |
| 1811350549 | Nora El-khatib Md Inc. | Ophthalmology | 302 Washington St # 150-1676, San Diego, CA 92103-2110 | 2016-03-31 |
| 1225419583 | Andrew Cu-unjieng, M.d. | Ophthalmology | 4060 Fourth Ave Ste 405, San Diego, CA 92103-2121 | 2015-06-12 |
| 1215277272 | Joseph Hartman | Ophthalmology | 5006 Westminster Ter, San Diego, CA 92116-2103 | 2013-02-27 |
| 1477804284 | Michelle B. Crosby M.d., Ph.d. Incorporated | Ophthalmology | 5550 Carmel Mountain Rd Ste 206, San Diego, CA 92130-4861 | 2012-09-20 |
| 1467714311 | Eye Care Associates of San Diego Medical Group, Inc. | Ophthalmology | 4455 Morena Blvd, Suite 203, San Diego, CA 92117-4358 | 2012-06-15 |
| 1790041804 | Jessica Gomez | Ophthalmology | 7695 Cardinal Ct Ste 100, San Diego, CA 92123-3357 | 2012-04-03 |
| Find all providers in SAN DIEGO | ||||
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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.