AMY FARABAUGH (NPI# 1477926319) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1477926319 |
| Entity Type | Individual |
| Full Name | AMY FARABAUGH |
| Credential | PA-C |
| Practice Address |
7339 El Cajon Blvd Suite I La Mesa CA 91942-7435 |
| Practice Telephone | 6196980606 |
| Enumeration Date | 2015-10-31 |
| Last Update Date | 2015-10-31 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AM0700X |
Physician Assistant Specialization: Medical |
52899 | CA | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427048610 | Amy Helena Farabaugh | Psychologist | 55 Fruit St, Massachusetts General Hospital S50-4, Boston, MA 02114-2621 | 2005-10-27 |
| Street Address |
7339 EL CAJON BLVD SUITE I |
| City | LA MESA |
| State | CA |
| Zip Code | 91942-7435 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841252988 | Roman B Cham | Specialist | 7339 El Cajon Blvd, Suite B, La Mesa, CA 91942-7435 | 2006-04-04 |
| 1275056954 | Jacqueline G Marquez | Counselor | 7339 El Cajon Blvd, La Mesa, CA 91942-7435 | 2017-07-25 |
| 1588187330 | Christina M Hyland | Counselor | 7339 El Cajon Blvd, La Mesa, CA 91942-7435 | 2017-07-24 |
| 1679094783 | Sheba Andrew | Counselor | 7339 El Cajon Blvd, La Mesa, CA 91942-7435 | 2017-06-28 |
| 1437523297 | Ashley Day | Behavioral Analyst | 7339 El Cajon Blvd, Suite J, La Mesa, CA 91942-7435 | 2015-11-17 |
| 1992129340 | Jessica Chitura | Counselor | 7339 El Cajon Blvd, Suite K, La Mesa, CA 91942-7435 | 2014-02-05 |
| 1912246448 | Sourcepoint Acupuncture Inc | Acupuncturist | 7339 El Cajon Blvd, Suite M, La Mesa, CA 91942-7435 | 2013-02-04 |
| 1689957284 | Rosalinda Chandarlis | Marriage & Family Therapist | 7339 El Cajon Blvd, Suite K, La Mesa, CA 91942 | 2011-09-21 |
| 1952691883 | Roman B Cham Md Inc | Specialist | 7339 El Cajon Blvd, Suite B, La Mesa, CA 91942-7435 | 2011-04-12 |
| 1437457975 | Claude Winship | Counselor | 7339 El Cajon Blvd, Suite K, La Mesa, CA 91942-7435 | 2011-03-08 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902453723 | Nicole V Zappelli | Case Manager/Care Coordinator | 4990 William Ave., La Mesa, CA 91942 | 2019-08-26 |
| 1770059834 | Natalie Ngoc Nguyen | Physician Assistant | 5555 Grosmont Center Dr., La Mesa, CA 91942 | 2018-10-16 |
| 1194204297 | Courtney Pietsch | Nurse Practitioner | 8851 Health Center Circle, Suite #603, La Mesa, CA 91942 | 2018-08-09 |
| 1295214773 | Megan Gordon | Behavior Technician | 6116 Horton Dr, La Mesa, CA 91942 | 2018-08-07 |
| 1356836548 | Kimberly Denise Davis | Counselor | 3845 Avocado School Road, El Cajon, CA 91942 | 2018-06-29 |
| 1366932113 | Melanie Joyce Shepard | Physician Assistant | 7051 Alvarado Road, Suite 201, La Mesa, CA 91942 | 2018-05-17 |
| 1871013532 | Low Dental, A.p.c. | Public Health or Welfare | 7872 La Mesa Blvd., La Mesa, CA 91942 | 2017-06-23 |
| 1275069437 | Ardel Ayala | Respiratory Therapist, Registered | 5800 Lake Murray Blvd. Unit 15, La Mesa, CA 91942 | 2017-05-10 |
| 1285007583 | Counseling & Behavioral Specialists | Marriage & Family Therapist | 5520 Wellesley Street, Ste 204, La Mesa, CA 91942 | 2015-11-09 |
| 1285001875 | Emily Shozaki Rizo | Nurse Practitioner | 6285 Meadowcrest Drive, La Mesa, CA 91942 | 2015-08-31 |
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| Taxonomy Code | 363AM0700X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Medical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972913622 | Yashveer Prasad Dubbula | Physician Assistant | 8851 Center Dr Ste 600, La Mesa, CA 91942-3061 | 2014-05-03 |
| 1336682236 | Hayley Ridenour | Physician Assistant | 7339 El Cajon Blvd Ste I, La Mesa, CA 91942-7435 | 2016-11-24 |
| 1104254945 | Brittany Slaughter | Physician Assistant | 5555 Grossmont Center Dr, La Mesa, CA 91942-3019 | 2013-10-14 |
| 1265723985 | Les Allen Mershon | Physician Assistant | 6136 Lake Murray Blvd, La Mesa, CA 91942-2502 | 2011-04-28 |
| 1447564141 | Cynthia Marie Adams | Physician Assistant | 5525 Grossmont Center Dr, La Mesa, CA 91942-3009 | 2010-08-05 |
| 1215267349 | Tammy Boyette Kelly | Physician Assistant | 7051 Alvarado Rd, La Mesa, CA 91942-8901 | 2010-01-13 |
| 1770750978 | Kevin Matthew Delgadillo | Physician Assistant | 7862 El Cajon Blvd, La Mesa, CA 91942-6712 | 2008-05-15 |
| 1245359140 | Abraham Daneshvar | Physician Assistant | 8851 Center Dr, Suite 505, La Mesa, CA 91942-3017 | 2007-03-29 |
| 1164553459 | Brenda Lee Holmes | Physician Assistant | 8881 Fletcher Parkway, Suite # 370, La Mesa, CA 91942 | 2007-03-08 |
| 1871518100 | Aaron F Mendez | Physician Assistant | 5565 Grossmont Center Dr, Bldg 3 Suite 101, La Mesa, CA 91942-3020 | 2006-07-13 |
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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.