COLETTE MARIE EASTMAN (NPI# 1457423410) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1457423410 |
| Entity Type | Individual |
| Full Name | COLETTE MARIE EASTMAN |
| Credential | DO |
| Practice Address |
15706 Pomerado Rd Suite 110 Poway CA 92064 |
| Practice Telephone | 8584850130 |
| Practice Fax Number | 8584859424 |
| Mailing Telephone | 8584850130 |
| Mailing Fax Number | 8584859424 |
| Enumeration Date | 2006-11-14 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207V00000X | Obstetrics & Gynecology | 20A4445 | CA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | 00AX44450 | 05 |
| Street Address |
15706 POMERADO RD SUITE 110 |
| City | POWAY |
| State | CA |
| Zip Code | 92064 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548241698 | Joan Carol Brentzel | Psychologist | 15706 Pomerado Rd, #210, Poway, CA 92064-2067 | 2005-11-07 |
| 1205265113 | North County Eye Physicians, Inc | Ophthalmology | 15706 Pomerado Rd, Suite 103, Poway, CA 92064-2067 | 2013-11-01 |
| 1396171575 | Adell J Russ | Marriage & Family Therapist | 15706 Pomerado Rd, Poway, CA 92064-2067 | 2013-09-19 |
| 1275857690 | San Diego Neurosurgeon One, Apc | Specialist | 15706 Pomerado Rd, S 206, Poway, CA 92064-2067 | 2010-03-15 |
| 1043533870 | Jennifer Pack, Nurse Practitioner, Apc | Nurse Practitioner | 15706 Pomerado Rd, Suite S 206, Poway, CA 92064-2067 | 2010-03-08 |
| 1083866719 | Lillian C. Lee, M.d., Inc. | Ophthalmology | 15706 Pomerado Rd, Ste 103, Poway, CA 92064-2067 | 2008-10-13 |
| 1417075763 | Sarju Bhaskerrao Patel | Dentist | 15706 Pomerado Rd, Suite 201, Poway, CA 92064-2067 | 2007-03-26 |
| 1356481527 | Sheila Ann Lemelle Love | Dentist | 15706 Pomerado Rd, Suite 205, Poway, CA 92064-2067 | 2007-02-07 |
| 1447303540 | Linda Marie Haack-rogers | Psychologist | 15706 Pomerado Rd, S210, Poway, CA 92064-2067 | 2007-01-19 |
| 1073609277 | Erela Katz Rappaport | Dentist | 15706 Pomerado Rd, Suite 205, Poway, CA 92064-2067 | 2006-10-05 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194357384 | Prabha Choudhary | Student in an Organized Health Care Education/Training Program | 17555, Corte Lomas Verdes, Poway, CA 92064 | 2020-02-06 |
| 1770143968 | Theresa Marie Morales | In Home Supportive Care | 15352 Running Deer Trl, Poway, CA 92064 | 2019-06-19 |
| 1689230997 | Jaclyn Miller | Audiologist | Health Medical Group, 15525 Pomerado Road Suite C-1, Poway, CA 92064 | 2019-05-13 |
| 1205306842 | Angelita Fuentes | Behavior Technician | 12975 Brookprinter Place Suite 250, Poway, CA 92064 | 2018-11-27 |
| 1396235271 | Michael Cutler, M.d., P.C. | Clinic/Center | 12285 Scripps Poway Pkwy Ste 103, Poway, CA 92064 | 2018-05-16 |
| 1720576671 | Jodi A Mcgrady Dmd, Ms, Adc | Dentist | 12350 Oak Knoll Rd, Poway, CA 92064 | 2018-04-26 |
| 1295237139 | Michelle J. Beaupre | Social Worker | 204 Poway Rd., Poway, CA 92064 | 2018-03-07 |
| 1669918165 | Restore Detox Centers | Substance Abuse Rehabilitation Facility | 14099 Sky Mountain Trail, Poway, CA 92064 | 2017-01-09 |
| 1205382561 | Nightingale Meyou | Pharmacist | 5615 Pomerado Rd, Poway, CA 92064 | 2016-08-28 |
| 1578017232 | Elan Lee | Dentist | 13035 Pomerado Road Suite B, Poway, CA 92064 | 2016-08-11 |
| Find all providers in zip 92064 | ||||
| Taxonomy Code | 207V00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Obstetrics & Gynecology |
| An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Obstetrics and Gynecology, 2007. http://www.abog.org/. American Osteopathic Board of Obstetrics and Gynecology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Obstetrics and Gynecology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Obstetrics and Gynecology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922444306 | Farina Islam | Obstetrics & Gynecology | 15706 Pomerado Rd Ste 110, Poway, CA 92064 | 2013-05-13 |
| 1710353966 | Damon Cobb Do Incorporated | Obstetrics & Gynecology | 15706 Pomerado Rd Ste 110, Poway, CA 92064-2032 | 2015-08-11 |
| 1922183250 | Nicole Nguyen | Obstetrics & Gynecology | 15725 Pomerado Rd, Suite 201, Poway, CA 92064-2068 | 2006-10-26 |
| 1245339985 | Timothy Maresh | Obstetrics & Gynecology | 15725 Pomerado Rd, Suite 207, Poway, CA 92064 | 2006-09-21 |
| 1811099740 | Helen Yuk Yu Chang | Obstetrics & Gynecology | 15525 Pomerado Rd, Suite A-8, Poway, CA 92064-2435 | 2006-09-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639786122 | My Virtual Physician, P.c | Obstetrics & Gynecology | 4900 California Ave Fl 2, Bakersfield, CA 93309-7024 | 2020-09-28 |
| 1942817804 | La Vista Health | Obstetrics & Gynecology | 180 W Willow St Unit 3, Pomona, CA 91768-1800 | 2020-09-24 |
| 1629685730 | Farshid Moossazadeh, M.d., A Professional Corporation | Obstetrics & Gynecology | 11633 Hawthorne Blvd Ste 300, Hawthorne, CA 90250-2369 | 2020-09-23 |
| 1528673886 | Dtla Gynecology | Obstetrics & Gynecology | 1245 Wilshire Blvd Ste 690, Los Angeles, CA 90017-4880 | 2020-09-14 |
| 1659982130 | Anaya Women's Ob/gyn Group | Obstetrics & Gynecology | 18056 Wika Rd Ste B, Apple Valley, CA 92307-2194 | 2020-08-10 |
| 1477163046 | Pioneers Memorial Healthcare District | Obstetrics & Gynecology | 751 W Legion Rd Ste 204, Brawley, CA 92227-7755 | 2020-08-07 |
| 1669093357 | Adventist Health Physicians Network | Obstetrics & Gynecology | 1505 Wilson Ter Ste 300, Glendale, CA 91206-4073 | 2020-05-04 |
| 1376180893 | Elisa M Lindley Md Corporation | Obstetrics & Gynecology | 41750 Rancho Las Palmas Dr Ste D1, Rancho Mirage, CA 92270-5512 | 2019-12-03 |
| 1043864184 | Gail Mezrow | Obstetrics & Gynecology | 1280 Coldwater Canyon Dr, Beverly Hills, CA 90210-2405 | 2019-07-26 |
| 1417516444 | Matrix Clinical Research | Obstetrics & Gynecology | 1919 W 7th St Fl 2, Los Angeles, CA 90057-4103 | 2019-06-12 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on COLETTE MARIE EASTMAN.
| 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.