MR. RAND CARLETON LUNDMARK (NPI# 1467965681) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1467965681 |
| Entity Type | Individual |
| Full Name | MR. RAND CARLETON LUNDMARK |
| Credential | CADC II |
| Practice Address |
3517 Camino Del Rio S Ste 407 San Diego CA 92108-4028 |
| Practice Telephone | 6199558905 |
| Mailing Telephone | 6199558905 |
| Enumeration Date | 2017-11-09 |
| Last Update Date | 2017-11-09 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
A3651797 | CA | Behavioral Health & Social Service Providers |
| Street Address |
3517 CAMINO DEL RIO S STE 407 |
| City | SAN DIEGO |
| State | CA |
| Zip Code | 92108-4028 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942427018 | Bonni Cardoza | Counselor | 3517 Camino Del Rio S Ste 407, San Diego, CA 92108 | 2007-04-19 |
| 1497353718 | Josie Morales Caudillo | Social Worker | 3517 Camino Del Rio S Ste 407, San Diego, CA 92108-4028 | 2020-10-09 |
| 1932711918 | Christina Diane Vlasis | Marriage & Family Therapist | 3517 Camino Del Rio S Ste 407, San Diego, CA 92108-4028 | 2020-08-20 |
| 1497380075 | Dennis Ryan Bauman Jr. | Marriage & Family Therapist | 3517 Camino Del Rio S Ste 407, San Diego, CA 92108-4028 | 2020-03-04 |
| 1760943138 | Isabel Shayanne Cendejas | Counselor | 3517 Camino Del Rio S Ste 407, San Diego, CA 92108-4028 | 2019-03-28 |
| 1144784497 | Kristie Claibourn | Counselor | 3517 Camino Del Rio S Ste 407, San Diego, CA 92108-4028 | 2019-01-30 |
| 1437620622 | Marilyn Scott | Counselor | 3517 Camino Del Rio S Ste 407, San Diego, CA 92108-4028 | 2018-12-16 |
| 1487145462 | Kelly E. Bourdage | Counselor | 3517 Camino Del Rio S Ste 407, San Diego, CA 92108-4028 | 2018-05-24 |
| 1871096347 | Margaret Elizabeth Edlebeck | Social Worker | 3517 Camino Del Rio S Ste 407, San Diego, CA 92108-4028 | 2018-03-12 |
| 1124478557 | Shantal Curlene Bridgewater | Marriage & Family Therapist | 3517 Camino Del Rio S Ste 407, San Diego, CA 92108-4028 | 2016-06-16 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952902801 | Keri Castaneda | Behavior Technician | 025 Camino Del Rio South Suite 101, San Diego, CA 92108 | 2020-11-06 |
| 1457963738 | Diyana Giorgees | Case Manager/Care Coordinator | 5005 Texas Street, St. 203, San Diego, CA 92108 | 2020-08-19 |
| 1780211896 | Lori Mildred Jerman | Marriage & Family Therapist | Healthy Minds Counseling Services, 1455 Frazee Road, Suite 880, San Diego, CA 92108 | 2020-03-26 |
| 1285260737 | Demetrius Anderson | Counselor | Telecare Corporation Ihot, 1660 Hotel Circle North, Suite 101, San Deigo, CA 92108 | 2020-03-17 |
| 1033742465 | Dasc Medical Inc | Durable Medical Equipment & Medical Supplies | 5520 Gill Village Way, 907, San Diego, CA 92108 | 2020-02-13 |
| 1508401092 | Chanda Denee Kizer | Marriage & Family Therapist | 3517 Camino Del Rio N, Suite 407, San Diego, CA 92108 | 2019-11-08 |
| 1225695562 | Jenna Rose Shurer | Nurse Practitioner | 5030 Camino De La Siesla Ste 106, San Diego, CA 92108 | 2019-05-22 |
| 1952967812 | Martha Kebede Mekonen | Chiropractor | 2667 Camino Del Rio South, Suite #313, San Diego, CA 92108 | 2019-05-16 |
| 1053886135 | Andrea Jiselly Munoz | Behavior Technician | 3505 Camino Del Rio South, Suite 200, San Diego, CA 92108 | 2018-10-04 |
| 1386128916 | Sarah Elisabeth Smith | Counselor | 7575 Metropolitan Dr., San Diego, CA 92108 | 2018-09-19 |
| Find all providers in zip 92108 | ||||
| Taxonomy Code | 101YA0400X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Addiction (Substance Use Disorder) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053910901 | Eduardo Alberto Perez | Counselor | 8829 Dewsbury Ave, San Diego, CA 92126-2428 | 2020-10-21 |
| 1477166734 | Laura Aida Andrade | Counselor | 4125 Wabash Ave, San Diego, CA 92104-2124 | 2020-08-26 |
| 1679113096 | David Salvador Avalos | Counselor | 3642 Rosa Linda St, San Diego, CA 92154-3653 | 2020-01-14 |
| 1023651692 | Robert Joseph Kassel | Counselor | 6551 Seaman St, San Diego, CA 92120-2629 | 2019-10-25 |
| 1609437979 | Pamela Lynette Hill | Counselor | 3960 W Point Loma Blvd, San Diego, CA 92110-5643 | 2019-06-26 |
| 1154989838 | Victoria Philips | Counselor | 4055 58th St Apt 10, San Diego, CA 92115-6209 | 2019-05-29 |
| 1740847375 | Jessica Cristina Williams | Counselor | 1775 Elm Ave, San Diego, CA 92154-1104 | 2019-05-20 |
| 1659934164 | Virginia Denise Mcswain | Counselor | 220 Euclid Ave Ste 200, San Diego, CA 92114-3644 | 2019-04-19 |
| 1386107324 | Connie Padera | Counselor | 3148 Midway Dr # 113, San Diego, CA 92110-4539 | 2019-04-08 |
| 1154891067 | Vincent Garside | Counselor | 2516 A Sreet, San Diego, CA 92102-9210 | 2018-12-04 |
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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.