DR. NIKOLAI SHALYGIN (NPI# 1366785644) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1366785644 |
| Entity Type | Individual |
| Full Name | DR. NIKOLAI SHALYGIN |
| Credential | M.D. |
| Practice Address |
3020 Childrens Way San Diego CA 92123-4223 |
| Mailing Address |
200 W. Arbor Drive Mc 8774 San Diego CA 92103 |
| Practice Telephone | 8589666764 |
| Mailing Telephone | 6195433650 |
| Enumeration Date | 2013-04-04 |
| Last Update Date | 2019-07-12 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2080N0001X |
Pediatrics Specialization: Neonatal-Perinatal Medicine |
M-14712 | ID | Allopathic & Osteopathic Physicians |
| Street Address |
3020 CHILDRENS WAY |
| City | SAN DIEGO |
| State | CA |
| Zip Code | 92123-4223 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225036627 | Raymond R Fripp | Pediatrics | 3020 Childrens Way, San Diego, CA 92123-4223 | 2005-07-09 |
| 1306443114 | Nilofar Mansoorgholamshahi | Social Worker | 3020 Childrens Way, San Diego, CA 92123-4223 | 2020-10-05 |
| 1245841824 | Farah Jadhavji | Student in an Organized Health Care Education/Training Program | 3020 Childrens Way, San Diego, CA 92123-4223 | 2020-08-16 |
| 1508476979 | Erik Cory Galvan | Social Worker | 3020 Childrens Way, San Diego, CA 92123-4223 | 2020-07-31 |
| 1932718624 | Julia Newton | Speech-Language Pathologist | 3020 Childrens Way, San Diego, CA 92123-4223 | 2020-07-28 |
| 1508484841 | Christian Cacho | Social Worker | 3020 Childrens Way, San Diego, CA 92123-4223 | 2020-07-13 |
| 1831714336 | Joyah Korin Brooks | Student in an Organized Health Care Education/Training Program | 3020 Childrens Way, San Diego, CA 92123-4223 | 2020-06-10 |
| 1821611195 | Rachel Chaya Lapidus | Student in an Organized Health Care Education/Training Program | 3020 Childrens Way, San Diego, CA 92123-4223 | 2020-05-21 |
| 1760005979 | Amani Dawn Piers | Student in an Organized Health Care Education/Training Program | 3020 Childrens Way, San Diego, CA 92123-4223 | 2020-05-21 |
| 1497375810 | Frank Lloyd Soriano Armas | Respiratory Therapist, Registered | 3020 Childrens Way, San Diego, CA 92123-4223 | 2020-04-27 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669087326 | Corina Lozano Manzo | Registered Nurse | 7436 Mission Center Road, San Diego, CA 92123 | 2020-09-10 |
| 1831703537 | Shannon Leigh Doolittle | Audiologist | 3020 Children's Way Mc5010, San Diego, CA 92123 | 2020-09-01 |
| 1861014359 | Ha Thanh Truong | Pharmacist | Rezcare, 3821 Calle Fortunada, San Diego, CA 92123 | 2020-05-07 |
| 1023667136 | Brittany Meyer | Physical Therapist | 3020 Children's Waymc5068, San Diego, CA 92123 | 2019-09-11 |
| 1598313272 | Ryan Edward Shaw | Marriage & Family Therapist | 8910 Clairmont Mesa Blvd, San Diego, CA 92123 | 2019-08-27 |
| 1528611910 | Tanisha C Fulcher | Marriage & Family Therapist | 8825 Aero Dr., Ste 315, San Diago, CA 92123 | 2019-07-24 |
| 1245795665 | Robin James Pekin | Marriage & Family Therapist | 4450 Kearny Villa Rd, #116, San Diego, CA 92123 | 2019-02-11 |
| 1174093728 | Karen Vences | Counselor | 8755 Aero Dr Suite 230, San Diego, CA 92123 | 2018-11-27 |
| 1255808465 | Natasha Herrera | Counselor | 2801 Meadow Lark Dr, San Diego, San Diego, CA 92123 | 2018-10-25 |
| 1407321987 | Maneka Elikewela | Behavior Technician | 3934 Murphy Canyon Rd, Ste B202, San Diego, CA 92123 | 2018-10-10 |
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| Taxonomy Code | 2080N0001X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| Specialization | Neonatal-Perinatal Medicine |
| A pediatrician who is the principal care provider for sick newborn infants. Clinical expertise is used for direct patient care and for consulting with obstetrical colleagues to plan for the care of mothers who have high-risk pregnancies. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Pediatrics. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427502186 | George Francis Tidmarsh | Pediatrics | 10182 Telesis Ct, San Diego, CA 92121-4760 | 2016-08-11 |
| 1518116474 | Aleksandra Janina Zabrocki | Pediatrics | 3262 Lahitte Ct, San Diego, CA 92122-2348 | 2008-09-16 |
| 1639201932 | Amber Pope | Pediatrics | 402 Dickinson St # 8774, Suite Mpf 1-140, San Diego, CA 92103-6902 | 2007-03-12 |
| 1528031457 | Eileen Marie Hoke | Pediatrics | Nmcsd Nicu, 34800 Bob Wilson Drive, San Diego, CA 92134-0001 | 2006-02-10 |
| 1356585954 | San Diego Neonatology, Inc. | Pediatrics | 3003 Health Center Dr, San Diego, CA 92123-2700 | 2009-04-27 |
| 1326297730 | Shandee Miquelle Hutson | Pediatrics | 3003 Health Center Drive, San Diego, CA 92354-2804 | 2008-09-10 |
| 1407024995 | Sandra Lawrynowicz Leibel | Pediatrics | 3020 Childrens Way, San Diego, CA 92123-4223 | 2008-02-18 |
| 1427255868 | Kathryn Ann Johnson | Pediatrics | 200 W Arbor Dr, San Diego, CA 92103-9000 | 2007-06-29 |
| 1942405469 | Farhad B. Imam | Pediatrics | 3020 Childrens Way, Mc5008, San Diego, CA 92123-4223 | 2007-06-15 |
| 1205047545 | Carlos Guillermo Ramos | Pediatrics | 200 W Arbor Dr, San Diego, CA 92103-9000 | 2007-05-25 |
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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.