MS. TERESA RENEE BERTINO (NPI# 1447324405) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1447324405 |
Entity Type | Individual |
Full Name | MS. TERESA RENEE BERTINO |
Credential | NP |
Practice Address |
5500 Campanile Dr San Diego CA 92182-4701 |
Mailing Address |
13938 Carriage Rd Poway CA 92064-3836 |
Practice Telephone | 6195946681 |
Mailing Telephone | 8583911666 |
Enumeration Date | 2006-11-20 |
Last Update Date | 2011-03-29 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 363LA2200X |
Nurse Practitioner Specialization: Adult Health |
14992 | CA | Physician Assistants & Advanced Practice Nursing Providers |
Street Address |
5500 CAMPANILE DR |
City | SAN DIEGO |
State | CA |
Zip Code | 92182-4701 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1649206269 | Denise Ann Wiksten | Specialist/Technologist | 5500 Campanile Dr, Dept. of Exercise & Nutritional Sciences, San Diego, CA 92182-0001 | 2006-06-24 |
1326663840 | Lisa Marie Contois | Specialist/Technologist | 5500 Campanile Dr, San Diego, CA 92182-0001 | 2020-06-10 |
1013547058 | Samantha Queen | Specialist/Technologist | 5500 Campanile Dr, San Diego, CA 92182-0001 | 2020-01-17 |
1134777246 | Sara Alyson Leighanne Self | Specialist/Technologist | 5500 Campanile Dr, San Diego, CA 92182-1680 | 2019-09-01 |
1033767793 | Eric Estrada | Student in an Organized Health Care Education/Training Program | 5500 Campanile Dr, San Diego, CA 92182-0001 | 2019-08-27 |
1376009506 | Kyle Nicholas Llorens | Physical Therapist | 5500 Campanile Dr, San Diego, CA 92182-0001 | 2019-02-12 |
1336604990 | Alaina Katherine Nicholas | Student in an Organized Health Care Education/Training Program | 5500 Campanile Dr, San Diego, CA 92182-0001 | 2019-02-07 |
1518431972 | Nathaniel Burns Bechtel | Student in an Organized Health Care Education/Training Program | 5500 Campanile Dr, San Diego, CA 92182-0003 | 2019-01-17 |
1205325065 | Queenie Soriano | Specialist/Technologist | 5500 Campanile Dr, San Diego, CA 92182-0001 | 2018-05-08 |
1558850370 | Kristin Anne Manyak | Specialist/Technologist | 5500 Campanile Dr, San Diego, CA 92182-0001 | 2018-05-07 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1184137861 | Megan Lawler | Specialist/Technologist | 5032 55th Street, San Diego, CA 92182 | 2017-11-16 |
1548501703 | Jon Eric Alexander | Counselor | 5500 Campanile Dr., San Diego, CA 92182 | 2013-03-12 |
1114575875 | Rand Al Urfali | Student in an Organized Health Care Education/Training Program | 5500 Campanile Drive, San Diego, CA 92182 | 2019-08-27 |
1326414988 | Rachel Mahoney | Counselor | 5500 Campanile Drive, San Diego, CA 92182 | 2015-08-18 |
1215551551 | Jacob Riley Callahan | Specialist/Technologist | 5302 55th St, San Diego, CA 92182-0001 | 2020-06-02 |
1164573234 | Amol Narendra Doshi | Preventive Medicine | Sdsu Calpulli Ctr Health Svcs 5500 Campanile Dr, San Diego, CA 92182-0001 | 2007-01-16 |
1710973953 | Cathy Ann Baughman-gross | Nurse Practitioner | 7500 Hardy Ave, San Diego, CA 92182-0001 | 2005-09-22 |
1972531994 | Donald Fredrick Kessler | Specialist/Technologist | 5500 Campanille Dr, San Diego, CA 92182-4313 | 2006-06-29 |
1033184064 | Carolyn Rae Peters | Specialist/Technologist | 5505 Campanile Dr., Aac 1402, San Diego, CA 92182-4313 | 2006-02-22 |
1902443518 | Sergio Miguel Ibarra | Specialist/Technologist | 5500 Campanile Drive, San Diego, CA 92182-4313 | 2019-12-02 |
Find all providers in zip 92182 |
Taxonomy Code | 363LA2200X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Nurse Practitioner |
Specialization | Adult Health |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1730714007 | Julissa Leonides Caraballo | Nurse Practitioner | 4044 Promontory St, San Diego, CA 92109-5334 | 2020-03-07 |
1427543685 | Meredith Cronenwett | Nurse Practitioner | 8793 Lightwave Ave, San Diego, CA 92123-5000 | 2018-06-28 |
1891288056 | Ayodele Bolatito Akinsuyi | Nurse Practitioner | 11287 Featherhill Ln, San Diego, CA 92126-4873 | 2018-06-12 |
1366958092 | Sylvia Akua Searleman | Nurse Practitioner | 17927 Aguamiel Rd, San Diego, CA 92127-1039 | 2017-12-18 |
1346752219 | Gurpreet Sahota | Nurse Practitioner | 7270 Rondel Ct, San Diego, CA 92119-1526 | 2017-10-31 |
1861912495 | Tejinder Kaur Dhandi | Nurse Practitioner | 12204 Briar Knoll Way, San Diego, CA 92128-6307 | 2017-06-24 |
1245782689 | Ellen Ward | Nurse Practitioner | 4320 Genesee Ave Ste 104, San Diego, CA 92117-4900 | 2016-11-02 |
1285088369 | Jackie Irene Nembo Kom | Nurse Practitioner | 17809 Kachina Ct, San Diego, CA 92127-1368 | 2016-04-14 |
1568864858 | Kathryn Hughlock | Nurse Practitioner | 4020 4th Ave, San Diego, CA 92103 | 2014-09-18 |
1730589953 | Morgan Wolf | Nurse Practitioner | 8935 Towne Centre Dr, San Diego, CA 92122-5651 | 2014-08-25 |
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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.