MRS. ANGIE MARY MADRID-HALLS (NPI# 1447401526) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1447401526 |
Entity Type | Individual |
Full Name | MRS. ANGIE MARY MADRID-HALLS |
Practice Address |
3350 La Jolla Village Dr 664/121 San Diego CA 92161-0002 |
Practice Telephone | 8586421134 |
Mailing Telephone | 8586421134 |
Enumeration Date | 2008-10-07 |
Last Update Date | 2008-10-07 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 225000000X | Orthotic Fitter | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Street Address |
3350 LA JOLLA VILLAGE DR 664/121 |
City | SAN DIEGO |
State | CA |
Zip Code | 92161-0002 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1053928218 | Leslie Gwen Mcewan | Registered Nurse | 3350 La Jolla Village Dr, San Diego, CA 92161-0002 | 2020-09-30 |
1093329419 | Esther Yerim Hwang | Pharmacist | 3350 La Jolla Village Dr, San Diego, CA 92161-0002 | 2020-09-02 |
1821602244 | Tracy Xinye Chen | Pharmacist | 3350 La Jolla Village Dr, San Diego, CA 92161-0002 | 2020-09-02 |
1083227946 | Kayla Christine Knopp | Psychologist | 3350 La Jolla Village Dr, San Diego, CA 92161 | 2020-08-28 |
1609489699 | Cristina De Almeida Amaral | Registered Nurse | 3350 La Jolla Village Dr, San Diego, CA 92161-0002 | 2020-08-28 |
1528670221 | Elizabeth O'neill | Nurse Practitioner | 3350 La Jolla Village Dr, San Diego, CA 92161-0002 | 2020-08-24 |
1194335828 | David Alan Yee | Pharmacist | 3350 La Jolla Village Dr, San Diego, CA 92161-0002 | 2020-08-07 |
1770193831 | Devon Gregory | Registered Nurse | 3350 La Jolla Village Dr, San Diego, CA 92161-0002 | 2020-08-04 |
1356950216 | Lauren F Monsanto | Optometrist | 3350 La Jolla Village Dr, San Diego, CA 92161-0002 | 2020-07-27 |
1184232530 | Sean Mommerency | Physical Therapist | 3350 La Jolla Village Dr, San Diego, CA 92161-0002 | 2020-07-21 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1902315807 | Laura Crocker | Psychologist | 3350 La Jolla Village Dr Mc 151b, San Diego, CA 92161 | 2017-09-22 |
1568849545 | Deborah Falch | Internal Medicine | Office of Primary Care Room 3322, 3350 La Jolla Village Drive, San Diego, CA 92161 | 2015-04-29 |
1649566001 | Alyan Ali | Student in an Organized Health Care Education/Training Program | 350 La Jolla Village Dr, Unit 118, San Diego, CA 92161 | 2011-06-23 |
1992840144 | I-wei Shu | Psychiatry & Neurology | 3350 La Jolla Village Drive Mc 116a, San Diego, CA 92161 | 2007-02-21 |
1639252216 | R Shabetai | General Acute Care Hospital | Vahcs 3350 La Jolla Village Dr, Cardiolgy 111a, La Jolla, CA 92161 | 2006-10-24 |
1437233624 | Lee Michael Williams | Marriage & Family Therapist | Department of Veteran Affairs, 3350 La Jolla Village Dr, Psychology Department, San Diego, CA 92161 | 2006-10-24 |
1295824340 | Pamela Anne Broder | Pharmacist | San Diego Va Medical Center (119), 3350 La Jolla Village Drive, San Diego, CA 92161 | 2006-10-12 |
1750484259 | Michael Neil Oxman | Internal Medicine | Shingles Prevention Study (111f-1), Va Medical Center, 3350 La Jolla Village Drive, San Diego, CA 92161 | 2006-09-07 |
1295847358 | Patricia Ellen Fornes | Physical Therapist | Dept. Veterens Affairs San Diego Healthcare Services, 3350 La Jolla Village Dr. Dept. Pm&r Mb 117, San Diego, CA 92161 | 2006-08-31 |
1477667087 | Kathryn Victoria Frederick Louv | Nurse Practitioner | 3350 La Jolla Village Dr., La Jolla, CA 92161 | 2006-08-19 |
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Taxonomy Code | 225000000X |
Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Classification | Orthotic Fitter |
An individual trained in the management of fitting prefabricated orthoses. |
Notes: Source: National Uniform Claim Committee [1/1/2011: title modified, definition modfied] Additional Resources: American Board for Certification in Orthotics, Prosthetics and Pedorthics, Inc., www.abcop.org and Board of Certification/Accreditation, International, www.bocusa.org. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1609937978 | Mary M Powell-penrith | Orthotic Fitter | 8344 Clairemont Mesa Blvd, Suite 110, San Diego, CA 92111-1307 | 2006-12-12 |
1598308959 | Ricardo Daniel Garcia | Orthotic Fitter | 550 Washington St Ste 400, San Diego, CA 92103-2229 | 2019-10-17 |
1518116730 | Henriquez Delacruz | Orthotic Fitter | 3350 La Jolla Village Drive, Prosthetic & Sensory Aids Svc 664/121, San Diego, CA 92161 | 2008-09-11 |
1083836019 | Ofelia Martinez | Orthotic Fitter | 2515 Camino Del Rio S, Suite 242a, San Diego, CA 92108-3792 | 2007-05-02 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1811547474 | June Sean | Orthotic Fitter | 1830 W Olympic Blvd Ste 123, Los Angeles, CA 90006-3734 | 2019-09-16 |
1265930903 | Advanced Therapy Center | Orthotic Fitter | 3475 Torrance Blvd Ste B2, Torrance, CA 90503-5800 | 2018-01-29 |
1740796754 | Vincent Leonard Reeves | Orthotic Fitter | 1815 Orange St, National City, CA 91950-6127 | 2017-12-28 |
1801244389 | Colleen Wendtland | Orthotic Fitter | 1468 Pepper Ln, Banning, CA 92220-1469 | 2016-05-25 |
1336487263 | Covenant Billing Services, Inc | Orthotic Fitter | 5817 Pine Ave, Suite B, Chino Hills, CA 91709-6533 | 2013-01-28 |
1497041438 | Peter P Kim | Orthotic Fitter | 720 S. Ramona Ave., Suite 103, Corona, CA 92879-2147 | 2011-06-28 |
1659602423 | Suzanne Pilegaard | Orthotic Fitter | 101 Wikup Drive, Suite C, Santa Rosa, CA 95403-1375 | 2010-01-19 |
1598098139 | Ryan Michael Solberg | Orthotic Fitter | 10361 Estates Drive, Truckee, CA 96161 | 2009-09-15 |
1467683805 | Abelardo Ramos | Orthotic Fitter | 227 E Chapman Ave, Suite A, Orange, CA 92866-1534 | 2009-08-03 |
1982871166 | Healing Hands Rehab Inc | Orthotic Fitter | 23586 Calabasas Rd Ste 206, Calabasas, CA 91302-1330 | 2008-05-15 |
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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.