ALAN WAYNE LARSON (NPI# 1396755831) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1396755831 |
| Entity Type | Individual |
| Full Name | ALAN WAYNE LARSON |
| Credential | MD |
| Practice Address |
15611 Pomerado Rd Suite 500 Poway CA 92064-2425 |
| Practice Telephone | 8584872121 |
| Practice Fax Number | 8584873321 |
| Mailing Telephone | 8584872121 |
| Mailing Fax Number | 8584873321 |
| Enumeration Date | 2006-08-08 |
| Last Update Date | 2008-12-01 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RG0100X |
Internal Medicine Specialization: Gastroenterology |
G39334 | CA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | RAILROAD M EDICARE | 100002787 | 01 |
| CA | 00G393340 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073677506 | Alan Larson | Optometrist | 733 Marquette Ave, Suite 219, Minneapolis, MN 55402-2309 | 2006-12-20 |
| Street Address |
15611 POMERADO RD SUITE 500 |
| City | POWAY |
| State | CA |
| Zip Code | 92064-2425 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124021969 | Daniel F Mulvihill | Internal Medicine | 15611 Pomerado Rd, Suite 580, Poway, CA 92064-2437 | 2005-05-24 |
| 1013462852 | Anapatricia Najera-higareda | Nurse Practitioner | 15611 Pomerado Rd, Poway, CA 92064-2437 | 2016-08-22 |
| 1346603024 | Ioanna Vouloumanou | Acupuncturist | 15611 Pomerado Rd, Poway, CA 92064-2437 | 2016-03-31 |
| 1922473701 | Janine Ludwig | Chiropractor | 15611 Pomerado Rd, Ste 100s, Poway, CA 92064-2437 | 2015-12-05 |
| 1396110318 | Jane Lillian Kroese | Nurse Practitioner | 15611 Pomerado Rd, Poway, CA 92064-2437 | 2015-12-02 |
| 1407258395 | San Diego Endocrinology Associates, PC | Internal Medicine | 15611 Pomerado Rd, 525, Poway, CA 92064-2437 | 2014-09-22 |
| 1740607274 | Jessica Mlakar | Acupuncturist | 15611 Pomerado Rd, Suite 100 South, Poway, CA 92064-2437 | 2014-03-21 |
| 1962844233 | Christina Marie Nakanishi | Social Worker | 15611 Pomerado Rd, Suite 535, Poway, CA 92064-2437 | 2013-07-26 |
| 1306280672 | North County Geriatrics | Internal Medicine | 15611 Pomerado Rd, Suite 575, Poway, CA 92064-2437 | 2013-04-17 |
| 1053659995 | Pain Allevia Medical Corporation | Pain Medicine | 15611 Pomerado Rd, Suite 525, Poway, CA 92064-2437 | 2013-01-28 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194357384 | Prabha Choudhary | Student in an Organized Health Care Education/Training Program | 17555, Corte Lomas Verdes, Poway, CA 92064 | 2020-02-06 |
| 1770143968 | Theresa Marie Morales | In Home Supportive Care | 15352 Running Deer Trl, Poway, CA 92064 | 2019-06-19 |
| 1689230997 | Jaclyn Miller | Audiologist | Health Medical Group, 15525 Pomerado Road Suite C-1, Poway, CA 92064 | 2019-05-13 |
| 1205306842 | Angelita Fuentes | Behavior Technician | 12975 Brookprinter Place Suite 250, Poway, CA 92064 | 2018-11-27 |
| 1396235271 | Michael Cutler, M.d., P.C. | Clinic/Center | 12285 Scripps Poway Pkwy Ste 103, Poway, CA 92064 | 2018-05-16 |
| 1720576671 | Jodi A Mcgrady Dmd, Ms, Adc | Dentist | 12350 Oak Knoll Rd, Poway, CA 92064 | 2018-04-26 |
| 1295237139 | Michelle J. Beaupre | Social Worker | 204 Poway Rd., Poway, CA 92064 | 2018-03-07 |
| 1669918165 | Restore Detox Centers | Substance Abuse Rehabilitation Facility | 14099 Sky Mountain Trail, Poway, CA 92064 | 2017-01-09 |
| 1205382561 | Nightingale Meyou | Pharmacist | 5615 Pomerado Rd, Poway, CA 92064 | 2016-08-28 |
| 1578017232 | Elan Lee | Dentist | 13035 Pomerado Road Suite B, Poway, CA 92064 | 2016-08-11 |
| Find all providers in zip 92064 | ||||
| Taxonomy Code | 207RG0100X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Gastroenterology |
| An internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes to visualize internal organs. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
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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.