REBECCA A SODERSTROM (NPI# 1417165804) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1417165804 |
| Entity Type | Individual |
| Full Name | REBECCA A SODERSTROM |
| Practice Address |
2821 Oceanside Blvd Oceanside CA 92054-4800 |
| Mailing Address |
7 Rancho Dr Escondido CA 92026-2325 |
| Practice Telephone | 7607212781 |
| Practice Fax Number | 7607219571 |
| Mailing Telephone | 7602944443 |
| Enumeration Date | 2007-05-18 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 174400000X | Specialist | Other Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | DRIVERS LICENSE | B4622901 | 01 |
| Street Address |
2821 OCEANSIDE BLVD |
| City | OCEANSIDE |
| State | CA |
| Zip Code | 92054-4800 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164630455 | David A White | Specialist | 2821 Oceanside Blvd, Oceanside, CA 92054-4800 | 2007-05-18 |
| 1982170387 | Denna Hope Manning | Counselor | 2821 Oceanside Blvd, Oceanside, CA 92054-4800 | 2018-10-23 |
| 1861977175 | Elisa Elaine Arce | Counselor | 2821 Oceanside Blvd, Oceanside, CA 92054-4800 | 2018-10-02 |
| 1922583707 | Norma Monzon | Counselor | 2821 Oceanside Blvd, Oceanside, CA 92054-4800 | 2018-09-27 |
| 1912498916 | Shawn Marie Zanco | Counselor | 2821 Oceanside Blvd, Oceanside, CA 92054-4800 | 2018-05-24 |
| 1730677873 | Monica Renteria | Counselor | 2821 Oceanside Blvd, Oceanside, CA 92054-4800 | 2018-04-24 |
| 1265949507 | Candice S Whitaker | Substance Abuse Rehabilitation Facility | 2821 Oceanside Blvd, Oceanside, CA 92054-4800 | 2018-01-09 |
| 1871000406 | Mcalister Institute | Substance Abuse Rehabilitation Facility | 2821 Oceanside Blvd, Oceanside, CA 92054-4800 | 2018-01-04 |
| 1336656008 | Regina Guadalupe Saldana | Counselor | 2821 Oceanside Blvd, Oceanside, CA 92054-4800 | 2018-01-03 |
| 1831612621 | Craig Howard Burson | Counselor | 2821 Oceanside Blvd, Oceanside, CA 92054-4800 | 2017-07-24 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497369987 | Crownview Telehealth Instiute LLC | Community/Behavioral Health | 315 North Clementine Street, Oceanside, CA 92054 | 2020-09-02 |
| 1992353585 | Janell Katherine Dulaney | Student in an Organized Health Care Education/Training Program | 738 S Tremont St, Oceanside, CA 92054 | 2019-08-28 |
| 1295201986 | North County Psychology Apc | Clinical Neuropsychologist | 2204 S. El Camino Real, #305, Oceanside, CA 92054 | 2018-10-19 |
| 1437638947 | Amy Joanne Buckner | Student in an Organized Health Care Education/Training Program | 2204 S El Camino Real Ste 102, Oceanside, CA 92054 | 2018-08-07 |
| 1285112458 | Alique Bedikian | Counselor | 1100 Sportfisher Dr, Oceanside, Oceanside, CA 92054 | 2018-07-31 |
| 1053809244 | Thrive Medical Specialists, A Professional Corporation | Physical Medicine & Rehabilitation | 322 N Nevada St., Oceanside, CA 92054 | 2018-04-24 |
| 1982133377 | Maegan Casanova | Psychologist | 1213 Herby Way, Oceanside, CA 92054 | 2017-06-08 |
| 1588109466 | Ryan Purvis | Counselor | 2812 Oceanside Blvd, Oceanside, CA 92054 | 2016-12-30 |
| 1629512595 | Ahi Vein and Vascular Specialists Inc A Professional Medical Corp | Clinic/Center | 2125 South El Camino Real, Suite 210, Oceanside, CA 92054 | 2016-12-13 |
| 1437531175 | Ginger Burleson | Counselor | 1110 Sportfisher Drive, Oceanside, CA 92054 | 2015-06-18 |
| Find all providers in zip 92054 | ||||
| Taxonomy Code | 174400000X |
| Grouping | Other Service Providers |
| Classification | Specialist |
| An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
| Notes: Source: Expanded from Webster’s II New Riverside University Dictionary, Boston: Riverside Publishing Company, 1974. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801439690 | Suzanne Schultz | Specialist | 159 Virginia Ave, Oceanside, NY 11572-5432 | 2019-10-24 |
| 1104487834 | Carolyn Grossman | Specialist | 3983 Carrel Blvd, Oceanside, NY 11572-5967 | 2019-06-24 |
| 1912561614 | Ada M Harris | Specialist | 108a Merle Ave, Oceanside, NY 11572-2235 | 2019-04-28 |
| 1649759663 | Deirdre Lee Harpur | Specialist | 3135 Ralph Ave, Oceanside, NY 11572-4420 | 2018-08-09 |
| 1033602594 | Maureen Greco-blois | Specialist | 567 Derby Dr N, Oceanside, NY 11572-2613 | 2018-06-10 |
| 1467945188 | Angela Anne Miller | Specialist | 3006 Trinity St, Oceanside, NY 11572-3224 | 2018-06-07 |
| 1972000859 | Melanie Greene | Specialist | 28 Court St, Oceanside, NY 11572-2012 | 2018-04-09 |
| 1376041376 | Sharon Sue Gordon | Specialist | 175 W Windsor Pkwy, Oceanside, NY 11572-3934 | 2018-01-25 |
| 1295249597 | Jenelle Patricia Christian | Specialist | 3809 Plaza Dr Ste 112, Oceanside, CA 92056-4625 | 2017-11-22 |
| 1164949848 | Luigina Demarco | Specialist | 2434 Westlake Ave, Oceanside, NY 11572-1745 | 2017-08-24 |
| Find all providers in OCEANSIDE | ||||
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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.