PAUL MIKESELL (NPI# 1477003473) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1477003473 |
| Entity Type | Individual |
| Full Name | PAUL MIKESELL |
| Practice Address |
12400 High Bluff Dr San Diego CA 92130-3077 |
| Practice Telephone | 8002820300 |
| Enumeration Date | 2016-10-13 |
| Last Update Date | 2016-10-13 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2471V0106X |
Radiologic Technologist Specialization: Vascular-Interventional Technology |
RHF 00101572 | CA | Technologists, Technicians & Other Technical Service Providers |
| Street Address |
12400 HIGH BLUFF DR |
| City | SAN DIEGO |
| State | CA |
| Zip Code | 92130-3077 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780876813 | Najiyyah Covington Lewis | Occupational Therapist | 12400 High Bluff Dr, San Diego, CA 92130-3077 | 2007-08-13 |
| 1376162966 | Madeline Paige Hitt | Registered Nurse | 12400 High Bluff Dr, San Diego, CA 92130-3077 | 2020-04-13 |
| 1326686692 | Jennifer Lynne Casinelli | Speech-Language Pathologist | 12400 High Bluff Dr, San Diego, CA 92130-3077 | 2019-12-17 |
| 1811533623 | Cody A Swartzendruber | Physical Therapist | 12400 High Bluff Dr, San Diego, CA 92130-3077 | 2019-11-27 |
| 1972168466 | Myrna Vargas | Technician, Pathology | 12400 High Bluff Dr, San Diego, CA 92130-3077 | 2019-05-09 |
| 1891208211 | Samantha Muntean Grinnell | Physical Therapist | 12400 High Bluff Dr, San Diego, CA 92130-3077 | 2017-11-07 |
| 1710412432 | Faridah Mumin | Nurse Practitioner | 12400 High Bluff Dr, San Diego, CA 92130-3077 | 2017-05-01 |
| 1780119339 | Brooke Horner | Physical Therapist | 12400 High Bluff Dr, San Diego, CA 92130-3077 | 2017-04-20 |
| 1548795123 | Michael Magyar | Physical Therapy Assistant | 12400 High Bluff Dr, San Diego, CA 92130-3077 | 2017-04-20 |
| 1609308865 | Jennifer Turnbull | Occupational Therapist | 12400 High Bluff Dr, San Diego, CA 92130-3077 | 2017-03-28 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629692397 | Tlc Family Therapy | Marriage & Family Therapist | 5965 Village Way. Suite 105 #112, San Diego, CA 92130 | 2020-05-29 |
| 1447746169 | Jack Perlov | Psychiatry & Neurology | 3535 Caminito El Rincon, Unit 268, San Diego, CA 92130 | 2018-07-05 |
| 1326551003 | Theotokos, LLC | Pharmacy | 5550 Carmel Mountain Rd Ste 111, San Diego, CA 92130 | 2017-11-16 |
| 1154879146 | Halie Hommes | Occupational Therapist | 12250 El Camino Real Ste 250, San Diego, CA 92130 | 2016-09-19 |
| 1790232015 | Coastal Skin and Eye Institute, Inc. | Ophthalmology | 5550 Carmel Mountain Road, Suite 206, San Diego, CA 92130 | 2016-09-02 |
| 1720534951 | Nosti and Rygg Dental Corporation | Dentist | 5550 Carmel Mountain Road, Ste 200, San Diego, CA 92130 | 2016-08-28 |
| 1831644053 | Marco Savittieri | Dentist | 3715 Ruette De Vl, San Diego, CA 92130 | 2016-08-17 |
| 1336508621 | Discovery Practice Management, Inc | Psychiatric Residential Treatment Facility | 11455 Camino Real, Ste 360, San Diego, CA 92130 | 2016-02-16 |
| 1427434679 | Coast Pediatrics Carmel Valley | Pediatrics | 5965 Village Drive, Suite 201, San Diego, CA 92130 | 2015-08-10 |
| 1659753762 | T Sidal Dds Md Inc | Dentist | 12395 El Camino Real, Suite 304, Torrey Pines Oral & Maxillofacial Surgery, San Diego, CA 92130 | 2015-06-25 |
| Find all providers in zip 92130 | ||||
| Taxonomy Code | 2471V0106X |
| Grouping | Technologists, Technicians & Other Technical Service Providers |
| Classification | Radiologic Technologist |
| Specialization | Vascular-Interventional Technology |
| Definition to come. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952658742 | Institute for Vascular Testing | Radiologic Technologist | 2255 S Bascom Ave Ste 205, Campbell, CA 95008-7800 | 2012-08-10 |
| 1942350889 | San Fernando Valley Interventional Radiology and Imaging Center | Radiologic Technologist | 16311 Ventura Blvd Ste 120, Encino, CA 91436-4396 | 2007-01-11 |
| 1336746221 | Avanguard Medical Group Inc | Radiologic Technologist | 5620 Wilbur Ave Ste 207, Tarzana, CA 91356-1309 | 2020-10-05 |
| 1386279545 | Veronica Gonzalez | Radiologic Technologist | 16506 Lakewood Blvd Ste 200, Bellflower, CA 90706-5165 | 2020-03-09 |
| 1104131929 | Pacific Medical Analysis, Inc | Radiologic Technologist | 18909 Sherman Way, B, Reseda, CA 91335-7700 | 2010-08-17 |
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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.