DR. SIMERJEET BRAR (NPI# 1417393307) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1417393307 |
| Entity Type | Individual |
| Full Name | DR. SIMERJEET BRAR |
| Credential | MD |
| Practice Address |
3665 Kearny Villa Rd San Diego CA 92123-1953 |
| Mailing Address |
3020 Childrens Way # Mc5003 San Diego CA 92123-4223 |
| Practice Telephone | 8589665832 |
| Mailing Telephone | 8583096300 |
| Enumeration Date | 2013-05-17 |
| Last Update Date | 2020-09-23 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 2084P0800X |
Psychiatry & Neurology Specialization: Psychiatry |
MD2019-0481 | NM | Allopathic & Osteopathic Physicians |
| Y | 2084P0804X |
Psychiatry & Neurology Specialization: Child & Adolescent Psychiatry |
A144765 | CA | Allopathic & Osteopathic Physicians |
| N | 2084P0804X |
Psychiatry & Neurology Specialization: Child & Adolescent Psychiatry |
MD2019-0481 | NM | Allopathic & Osteopathic Physicians |
| Street Address |
3665 KEARNY VILLA RD |
| City | SAN DIEGO |
| State | CA |
| Zip Code | 92123-1953 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962508481 | Rady's Children's Hospital Outpatient Psychiatry San Diego | Marriage & Family Therapist | 3665 Kearny Villa Rd, 165, San Diego, CA 92123-1953 | 2006-09-15 |
| 1851952907 | Allison Rawls | Student in an Organized Health Care Education/Training Program | 3665 Kearny Villa Rd, San Diego, CA 92123-1953 | 2019-06-27 |
| 1578044012 | Neilson Chan | Student in an Organized Health Care Education/Training Program | 3665 Kearny Villa Rd, San Diego, CA 92123-1953 | 2018-08-23 |
| 1063907038 | Page Naomi Beukelman | Audiologist | 3665 Kearny Villa Rd, San Diego, CA 92123-1953 | 2018-06-22 |
| 1982119293 | Yesenia C Mejia | Psychologist | 3665 Kearny Villa Rd, San Diego, CA 92123-1953 | 2017-12-08 |
| 1104335835 | Stephanie Keffer | Speech-Language Pathologist | 3665 Kearny Villa Rd, San Diego, CA 92123-1953 | 2017-09-26 |
| 1740728179 | Natasha Proa | Case Manager/Care Coordinator | 3665 Kearny Villa Rd, Suite 165, San Diego, CA 92123-1953 | 2017-02-06 |
| 1194268425 | Kimberlee Ramirez | Speech-Language Pathologist | 3665 Kearny Villa Rd, Suite 300, San Diego, CA 92123-1953 | 2016-11-17 |
| 1073989380 | Brielle Williams | Speech-Language Pathologist | 3665 Kearny Villa Rd, Suite 300, San Diego, CA 92123 | 2015-08-20 |
| 1871969436 | Tara Jobin | Audiologist | 3665 Kearny Villa Rd, San Diego, CA 92123-1953 | 2015-08-18 |
| Find all providers in the same location | ||||
| 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 |
| Find all providers in zip 92123 | ||||
| Taxonomy Code | 2084P0804X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Child & Adolescent Psychiatry |
| Child & Adolescent Psychiatry is a subspecialty of psychiatry with additional skills and training in the diagnosis and treatment of developmental, behavioral, emotional, and mental disorders of childhood and adolescence. |
| Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922428622 | Nicholas J. Perez | Psychiatry & Neurology | 2351 Cardinal Lane, Annex B, San Diego, CA 92123 | 2014-04-21 |
| 1326484437 | Emily Anne Troyer | Psychiatry & Neurology | 210 Dickinson St., Bldg. Ctf-a, Room 402, San Diego, CA 92103-0804 | 2013-05-15 |
| 1902011505 | Marguerite Emilie Van Remoortere | Psychiatry & Neurology | 4660 Palm Avenue, Bldg A Scpmg, San Diego, CA 92154 | 2007-05-14 |
| 1841375458 | Aneita G Rashford | Psychiatry & Neurology | 3603 State St, 2, San Diego, CA 92103-4755 | 2006-10-25 |
| 1477635738 | Karen E Solway | Psychiatry & Neurology | 3020 Childrens Way # Mc5108, San Diego, CA 92123-4223 | 2006-10-19 |
| 1396847299 | Joan Sandra Gildin | Psychiatry & Neurology | 9400 Ruffin Ct, B, San Diego, CA 92123-5300 | 2006-09-01 |
| 1083728422 | Joseph Robert Mawhinney | Psychiatry & Neurology | 1959 Grand Ave, Suite A, San Diego, CA 92109-4511 | 2006-08-19 |
| 1417984949 | Renu Vishwanath Kaushik | Psychiatry & Neurology | 2801 Meadowlark Drive, San Diego, CA 92123 | 2006-06-28 |
| 1679510465 | Fee Sean Jane Chin | Psychiatry & Neurology | 6386 Alvarado Ct Ste 210, San Diego, CA 92120-4907 | 2006-06-01 |
| 1578537494 | Thomas Edward Deblois | Psychiatry & Neurology | 4452 Park Blvd., Ste. #214, San Diego, CA 92116-4049 | 2006-02-15 |
| Find all providers in SAN DIEGO | ||||
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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.