DR. CAROLYN COKER ROSS (NPI# 1386785657) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1386785657 |
| Entity Type | Individual |
| Full Name | DR. CAROLYN COKER ROSS |
| Credential | M.D. |
| Practice Address |
4080 Falcon St San Diego CA 92103 |
| Mailing Address |
4080 Falcon St San Diego CA 92103-1858 |
| Practice Telephone | 5204400079 |
| Practice Fax Number | 8556512323 |
| Mailing Telephone | 5204400079 |
| Mailing Fax Number | 8556512323 |
| Enumeration Date | 2007-02-09 |
| Last Update Date | 2018-08-07 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207QA0401X |
Family Medicine Specialization: Addiction Medicine |
A37347 | CA | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548707813 | Carolyn Ross | Registered Nurse | 337 N Vulcan Ave, Encinitas, CA 92024-2647 | 2017-01-25 |
| 1881699700 | Carolyn Ann Ross | Family Medicine | 120 Walnut Commons Ln Ste B, Cookeville, TN 38501 | 2005-06-16 |
| 1598381998 | Carolyn M Ross | Behavior Technician | 1609 N Dixie Ave Ste 114, Elizabethtown, KY 42701-7494 | 2020-06-22 |
| 1538699905 | Carolyn Ross | Case Manager/Care Coordinator | 1501 S Clinton St, Baltimore, MD 21224-5730 | 2017-06-18 |
| 1063960557 | Carolyn Ross | Occupational Therapist | 2510 N Pines Rd Ste 3, Spokane Valley, WA 99206 | 2016-09-14 |
| 1144596156 | Carolyn Michelle Ross | Obstetrics & Gynecology | 1900 Burlington Mount Holly Rd Ste D, Burlington Township, NJ 08016-4722 | 2012-03-25 |
| 1184882276 | Carolyn Kenia Ross | Obstetrics & Gynecology | 3660 W. Bethany Home Road, Suite A, Phoenix, AZ 85019-1953 | 2008-05-27 |
| 1447315759 | Carolyn Ross | Physician Assistant | 3980 Sheridan Dr, Suite 200, Amherst, NY 14226-1727 | 2006-12-27 |
| 1972690402 | Carolyn M Ross | Psychologist | 700 E Township Line Rd, Suite 101, Havertown, PA 19083-5733 | 2006-10-06 |
| Street Address |
4080 FALCON ST |
| City | SAN DIEGO |
| State | CA |
| Zip Code | 92103 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174140057 | Carmel Agdeppa | Acupuncturist | Chiropractique, 813 West Washington St., San Diego, CA 92103 | 2020-06-26 |
| 1568082717 | Salina Ann Bambic | Social Worker | 302 Washington Street Suite 420, San Diego, CA 92103 | 2020-04-17 |
| 1467099432 | Lina Hong | Behavior Technician | 3731 6th Ave. Suite 100, San Diego, Ca 92103, San Diego, CA 92103 | 2019-12-09 |
| 1154964567 | Rodger Stacy Questin, Psychologist P.C. | Psychologist | 440 Upas St Apt 402, San Diego, CA 92103 | 2019-10-18 |
| 1932740388 | Grace Tong-ventura | Pharmacist | 200 W. Arbor Drive, #8765, Suite 1-317, San Diego, CA 92103 | 2019-10-07 |
| 1306490453 | Genevieve Cheung | Pharmacist | 200 W Arbor Dr #8765, Department of Pharmacy, San Diego, CA 92103 | 2019-07-26 |
| 1801356837 | Marika Doviak | Acupuncturist | 2370 Hickory St, San Diego, CA 92103 | 2019-03-25 |
| 1982185070 | Tyler Lewis Roberts | Counselor | 4303 3rd Ave, San Diego, CA 92103 | 2018-08-27 |
| 1689151284 | Tori Breanne Blackwell | Occupational Therapist | 3731-a 6th Avenue, San Diego, CA 92103 | 2018-07-26 |
| 1952892614 | Pacific Bay Recovery Inc | Substance Abuse Rehabilitation Facility | 4095 Jackdaw St, San Diego, CA 92103 | 2018-05-29 |
| Find all providers in zip 92103 | ||||
| Taxonomy Code | 207QA0401X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Specialization | Addiction Medicine |
| A family medicine physician who specializes in the diagnosis and treatment of addictions. |
| Notes: Source: National Uniform Claim Committee, 2009 [1/1/2010: definition added, source added] Additional Resources: A Certification of Added Qualifications (CAQ) was, but is no longer issued by the American Osteopathic Board of Family Physicians. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598036436 | Dale Michael Apodaca | Family Medicine | 3909 Henry St, San Diego, CA 92103-1623 | 2012-01-24 |
| 1386857332 | Jerry D Ayers, M.d. | Family Medicine | 3719 4th Ave, San Diego, CA 92103-4202 | 2007-05-07 |
| 1457579716 | Puri Barin-tanjuaquio | Family Medicine | 7020 Friar Rd, San Diego, CA 92108-1126 | 2007-04-23 |
| 1356346225 | Renee Lois Kilmer | Family Medicine | 7545 Metropolitan Drive, San Diego, CA 92108 | 2005-06-16 |
| 1679005128 | Phillip Milgram Md, Inc | Family Medicine | 4080 Centre St, Suite 105, San Diego, CA 92103-2655 | 2017-04-03 |
| 1134374432 | Jerry D Ayers Md Inc. | Family Medicine | 2800 3rd Ave, San Diego, CA 92103-6204 | 2008-12-01 |
| 1013127984 | Bruce J Pevney | Family Medicine | 3719 4th Ave, San Diego, CA 92103-4202 | 2007-05-22 |
| 1003969031 | Johannes R Sack | Family Medicine | 2206 Balboa Ave, San Diego, CA 92109-4735 | 2007-01-21 |
| 1104977602 | Jerry Daniel Ayers | Family Medicine | 2121 5th Ave, San Diego, CA 92101-2139 | 2007-01-13 |
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|---|---|---|---|---|
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| 1720624497 | Marina Harbor Detox | Family Medicine | 289 Marina Blvd, San Francisco, CA 94123-1212 | 2019-11-18 |
| 1093363848 | Anthony Martin Ocana | Family Medicine | 13924 Marquesas Way Apt 1520, Marina Del Rey, CA 90292-6018 | 2019-08-26 |
| 1821640137 | L Snyder Incorporated | Family Medicine | 34052 La Plaza #101, Dana Point, CA 92629 | 2019-07-16 |
| 1720645328 | Creative Child and Family Services, Inc. | Family Medicine | 7049 Ohio River Dr, Eastvale, CA 91752 | 2019-05-20 |
| 1932666575 | Gold Country Health Initiative, LLC | Family Medicine | 820/830 State Highway 88, Jackson, CA 95642 | 2019-03-01 |
| 1629550660 | University of California Sfgh Medical Group | Family Medicine | 1001 Potrero Ave Rm 5h22, San Francisco, CA 94110-3518 | 2018-09-06 |
| 1952809592 | Sunrise Health & Wellness Center, LLC | Family Medicine | 10089 Folsom Blvd. Suites A & C, Rancho Cordova, CA 95670-1935 | 2018-01-29 |
| 1487166120 | Good Samaritan Shelter | Family Medicine | 412 East Tunnell Street, Santa Maria, CA 93454 | 2017-11-03 |
| Find all providers with the same taxonomy | ||||
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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.