OLGA LYSSANOVA (NPI# 1457791451) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1457791451 |
| Entity Type | Individual |
| Full Name | OLGA LYSSANOVA |
| Practice Address |
3666 Kearny Villa Rd Suite #225 San Diego CA 92123-1951 |
| Practice Telephone | 8585055480 |
| Mailing Telephone | 8585055480 |
| Enumeration Date | 2013-07-05 |
| Last Update Date | 2013-07-05 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225500000X | Specialist/Technologist | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
3666 KEARNY VILLA RD SUITE #225 |
| City | SAN DIEGO |
| State | CA |
| Zip Code | 92123-1951 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750420949 | Michael Thomas Ryder | Physical Therapist | 3666 Kearny Villa Rd, Suite 200, San Diego, CA 92123-1949 | 2007-02-05 |
| 1457765026 | Stephanie Ada Iacobelli | Physical Therapist | 3666 Kearny Villa Rd, San Diego, CA 92123-1951 | 2014-06-11 |
| 1811319627 | Colleen Maher | Occupational Therapist | 3666 Kearny Villa Rd, San Diego, CA 92123-1951 | 2014-01-14 |
| 1326478314 | Brandon Kusakabe | Physical Therapist | 3666 Kearny Villa Rd, San Diego, CA 92123-1951 | 2013-11-12 |
| 1598052771 | Michael Leverne Stewart | Physical Therapist | 3666 Kearny Villa Rd, Suite 200, San Diego, CA 92123-1951 | 2011-07-07 |
| 1598083933 | Charles Joseph Marty | Physical Therapist | 3666 Kearny Villa Rd, 200, San Diego, CA 92123-1951 | 2010-05-10 |
| 1205151651 | Celia Bartman | Physical Therapy Assistant | 3666 Kearny Villa Rd, 225, San Diego, CA 92123-1951 | 2010-03-29 |
| 1962727321 | Fred Schmitz | Specialist | 3666 Kearny Villa Rd, San Diego, CA 92123-1951 | 2010-03-29 |
| 1881919215 | Anthony S Sanchez | Physical Therapist | 3666 Kearny Villa Rd, Suite 225, San Diego, CA 92123-1951 | 2010-03-29 |
| 1245554906 | Marie Grandinetti | Occupational Therapist | 3666 Kearny Villa Rd, San Diego, CA 92123-1951 | 2010-03-23 |
| 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 | 225500000X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Specialist/Technologist |
| General classification identifying individuals who are trained on a specific piece of equipment or technical procedure. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821533985 | Jessica Llamas | Specialist/Technologist | 10243 Genetic Center Dr, San Diego, CA 92121-6310 | 2016-12-28 |
| 1124577697 | Katherine Grubert | Specialist/Technologist | 7850 Mission Center Ct Ste 100, San Diego, CA 92108-1323 | 2016-09-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497371645 | Sleep Technology Specialists, LLC. | Specialist/Technologist | 4108 Crooked Stick Ln, Corona, CA 92883-0616 | 2020-06-24 |
| 1376166116 | Tammy Crawford | Specialist/Technologist | 3459 Fairview Dr, Vista, CA 92084-1019 | 2020-05-27 |
| 1689200990 | Aunika Stratton | Specialist/Technologist | 456 S Catalina St, Ventura, CA 93001-3627 | 2020-03-18 |
| 1275179244 | Richard Anthony Mendoza | Specialist/Technologist | 3123 Pearlwood Dr, Lancaster, CA 93536-4715 | 2019-11-25 |
| 1942869466 | Joshua Aaron Ruelas | Specialist/Technologist | 2448 Nutwood Ave Apt F30, Fullerton, CA 92831-5431 | 2019-06-08 |
| 1174086888 | Jamila Patrice Clark | Specialist/Technologist | 715 W Milling St Unit 405, Lancaster, CA 93534-3173 | 2019-04-09 |
| 1588135487 | Lisa Marie Rulli | Specialist/Technologist | 12012 Wilshire Blvd Ste 203, Los Angeles, CA 90025-1203 | 2018-12-17 |
| 1659861185 | Derriea Mcglothern | Specialist/Technologist | 23126 Rider St, Perris, CA 92570 | 2018-05-10 |
| 1720529365 | John Prior | Specialist/Technologist | 39658 Mission Blvd, Fremont, CA 94539-3000 | 2017-03-15 |
| 1528424389 | Rem Pacific Sleep Center, Inc. | Specialist/Technologist | 2990 E. Pacific Coast Hwy, Suite A, Long Beach, CA 90804 | 2016-01-10 |
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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.