PACIFIC COAST HEALTHCARE (NPI# 1396927141) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1396927141 |
| Entity Type | Organization |
| Organization Name | PACIFIC COAST HEALTHCARE |
| Practice Address |
4025 Camino Del Rio S Suite #331 San Diego CA 92108-4107 |
| Practice Telephone | 6192918602 |
| Mailing Telephone | 6192918602 |
| Enumeration Date | 2007-12-04 |
| Last Update Date | 2007-12-04 |
| Authorized Official Name | MR. JOSHUA DANIEL HENNIG (CEO) |
| Authorized Official Telephone | 6192918600 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251J00000X | Nursing Care | 2007026052 | CA | Agencies |
| Street Address |
4025 CAMINO DEL RIO S SUITE #331 |
| City | SAN DIEGO |
| State | CA |
| Zip Code | 92108-4107 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497725907 | Robert Keller Parkinson | Radiology | 4025 Camino Del Rio S, Suite 300, San Diego, CA 92108-4107 | 2006-01-25 |
| 1396362109 | Abigail Bushnell | Behavior Technician | 4025 Camino Del Rio S, San Diego, CA 92108-4107 | 2020-06-26 |
| 1760005722 | Vanessa Rivera | Behavior Technician | 4025 Camino Del Rio S, San Diego, CA 92108-4107 | 2020-05-26 |
| 1629617741 | Ofelia Mendoza | Behavior Technician | 4025 Camino Del Rio S, San Diego, CA 92108-4107 | 2020-01-06 |
| 1790193555 | Petrea Kristine Huynh | Counselor | 4025 Camino Del Rio S, Suite 250, San Diego, CA 92108-4107 | 2014-07-24 |
| 1558650085 | Ashley Diana Cox | Marriage & Family Therapist | 4025 Camino Del Rio S, Suite 250, San Diego, CA 92108-4107 | 2011-04-05 |
| 1932401239 | Jsheard Md Incorporated | Surgery | 4025 Camino Del Rio S, Ste 250, San Diego, CA 92108-4107 | 2010-11-19 |
| 1528208212 | H.l. Stephens, A.p.c. | Psychologist | 4025 Camino Del Rio S, # 300, San Diego, CA 92108-4107 | 2009-02-20 |
| 1477792422 | Heather L. Stephens | Psychologist | 4025 Camino Del Rio S, #300, San Diego, CA 92108-4107 | 2009-02-16 |
| 1164690962 | Dolan Shig Mayeda | Chiropractor | 4025 Camino Del Rio S, Ste 300, San Diego, CA 92108 | 2008-02-14 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952902801 | Keri Castaneda | Behavior Technician | 025 Camino Del Rio South Suite 101, San Diego, CA 92108 | 2020-11-06 |
| 1457963738 | Diyana Giorgees | Case Manager/Care Coordinator | 5005 Texas Street, St. 203, San Diego, CA 92108 | 2020-08-19 |
| 1780211896 | Lori Mildred Jerman | Marriage & Family Therapist | Healthy Minds Counseling Services, 1455 Frazee Road, Suite 880, San Diego, CA 92108 | 2020-03-26 |
| 1285260737 | Demetrius Anderson | Counselor | Telecare Corporation Ihot, 1660 Hotel Circle North, Suite 101, San Deigo, CA 92108 | 2020-03-17 |
| 1033742465 | Dasc Medical Inc | Durable Medical Equipment & Medical Supplies | 5520 Gill Village Way, 907, San Diego, CA 92108 | 2020-02-13 |
| 1508401092 | Chanda Denee Kizer | Marriage & Family Therapist | 3517 Camino Del Rio N, Suite 407, San Diego, CA 92108 | 2019-11-08 |
| 1225695562 | Jenna Rose Shurer | Nurse Practitioner | 5030 Camino De La Siesla Ste 106, San Diego, CA 92108 | 2019-05-22 |
| 1952967812 | Martha Kebede Mekonen | Chiropractor | 2667 Camino Del Rio South, Suite #313, San Diego, CA 92108 | 2019-05-16 |
| 1053886135 | Andrea Jiselly Munoz | Behavior Technician | 3505 Camino Del Rio South, Suite 200, San Diego, CA 92108 | 2018-10-04 |
| 1386128916 | Sarah Elisabeth Smith | Counselor | 7575 Metropolitan Dr., San Diego, CA 92108 | 2018-09-19 |
| Find all providers in zip 92108 | ||||
| Taxonomy Code | 251J00000X |
| Grouping | Agencies |
| Classification | Nursing Care |
| A Nursing Care Agency is an entity that provides skilled nursing care through the services of a Registered Nurse (RN) or a Licensed Practical Nurse (LPN), by employees, contracted individuals, or via a registry, in a variety of settings. The agency may engage in providing private duty nursing and/or staffing services. |
| Notes: Source: National Uniform Claim Committee, 2008 [7/1/2008: modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659978328 | La Tanya Wallace | Nursing Care | 3111 Camino Del Rio N Ste 4th, San Diego, CA 92108-5720 | 2020-10-06 |
| 1720611502 | Hospice De La Frontera | Nursing Care | 2626 Coronado Ave Spc 66, San Diego, CA 92154-2126 | 2020-02-19 |
| 1508106477 | Rancho Bernardo Day Program Inc | Nursing Care | 16496 Bernardo Center Dr # 304, San Diego, CA 92128-2524 | 2013-02-28 |
| 1235475856 | Butterfly Effects | Nursing Care | 4650 34th St Apt D, San Diego, CA 92116-3443 | 2012-12-31 |
| 1952579419 | Workway Nursing, Corp | Nursing Care | 1011 Camino Del Rio S, 340, San Diego, CA 92108-3531 | 2008-02-18 |
| 1609315415 | County of San Diego | Nursing Care | 5055 Ruffin Rd, San Diego, CA 92123-1617 | 2017-02-14 |
| 1568731933 | Peak Health Solutions | Nursing Care | 6920 Miramar Rd Ste 305, San Diego, CA 92121-2643 | 2011-12-14 |
| 1104146729 | Health Guard Fitness | Nursing Care | 2915 Lloyd St, San Diego, CA 92117-6031 | 2010-06-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144821224 | Discovery Health Services | Nursing Care | 5726 La Jolla Blvd Ste 104, La Jolla, CA 92037-7342 | 2020-11-04 |
| 1457959496 | Meditas Corporation | Nursing Care | 4068 Park Vista Dr, Pasadena, CA 91107-1322 | 2020-10-13 |
| 1548874654 | Integral Advanced Nursing Services Corporation | Nursing Care | 4138 Towhee Dr, Calabasas, CA 91302-1823 | 2020-09-04 |
| 1295349777 | Tryfacta, Inc. | Nursing Care | 4637 Chabot Dr Ste 100, Pleasanton, CA 94588-2753 | 2020-09-02 |
| 1174135982 | Queens Manor 2 Home Care | Nursing Care | 248 Amelia Ct, Vista, CA 92084-2587 | 2020-08-21 |
| 1518579192 | Core Nursing, Inc. | Nursing Care | 1513 Portia St, Los Angeles, CA 90026-2651 | 2020-08-17 |
| 1316569189 | Sri Sai Krish Institute | Nursing Care | 12362 Beach Blvd Ste 14, Stanton, CA 90680-3957 | 2020-05-14 |
| 1669008934 | Angenida Hospice LLC | Nursing Care | 14081 Yorba St Ste 201, Tustin, CA 92780-2011 | 2020-03-19 |
| 1396379244 | Beckett Enterprise | Nursing Care | 900 Kincaid Ave # K8, Inglewood, CA 90302-2021 | 2020-03-01 |
| 1811521073 | Weldwoods Residential Care Home LLC | Nursing Care | 1490 Pelusa Ln, Manteca, CA 95337-8792 | 2020-02-26 |
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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.