GENESIS HEALTHCARE PARTNERS DISPENSARY (NPI# 1487041174) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1487041174 |
| Entity Type | Organization |
| Organization Name | GENESIS HEALTHCARE PARTNERS DISPENSARY |
| Practice Address |
3444 Kearny Villa Rd Ste 201 San Diego CA 92123-1959 |
| Mailing Address |
Po Box 33865 San Diego CA 92163-3865 |
| Practice Telephone | 8584301101 |
| Practice Fax Number | 8584301106 |
| Mailing Telephone | 8588107200 |
| Mailing Fax Number | 8582215021 |
| Enumeration Date | 2015-04-20 |
| Last Update Date | 2020-03-18 |
| Authorized Official Name | PAT WILBER (COO) |
| Authorized Official Telephone | 8588107200 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 332900000X | Non-Pharmacy Dispensing Site | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | MEDICARE PTAN | ES322A | 01 |
| Street Address |
3444 KEARNY VILLA RD STE 201 |
| City | SAN DIEGO |
| State | CA |
| Zip Code | 92123-1959 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063404606 | Walter Alain Thomas | Orthopaedic Surgery | 3444 Kearny Villa Rd, Ste 303, San Diego, CA 92123-1959 | 2005-08-19 |
| 1902413966 | Cherry Gatpo | Massage Therapist | 3444 Kearny Villa Rd, San Diego, CA 92123-1959 | 2020-09-24 |
| 1992267355 | Coast Surgery Center - Navy Resource Sharing | General Acute Care Hospital | 3444 Kearny Villa Rd, San Diego, CA 92123-1959 | 2019-04-04 |
| 1831696079 | Jennifer Ashley Moss | Anesthesiology | 3444 Kearny Villa Rd, San Diego, CA 92123-1959 | 2018-04-12 |
| 1184122053 | San Diego Anesthesia Consultants | Nurse Anesthetist, Certified Registered | 3444 Kearny Villa Rd, San Diego, CA 92123-1959 | 2018-01-25 |
| 1699221077 | Rml Orthopedic Group | Orthopaedic Surgery | 3444 Kearny Villa Rd, Suite 401, San Diego, CA 92123-1959 | 2016-08-26 |
| 1922489624 | Mwg Anesthesia Inc A Professional Corporation | Anesthesiology | 3444 Kearny Villa Rd, Suite 100, San Diego, CA 92123-1959 | 2015-06-18 |
| 1598144354 | Synergy Specialists Medical Group | Specialist | 3444 Kearny Villa Rd, Suite 401, San Diego, CA 92123-1959 | 2015-05-27 |
| 1598009680 | Sean M Hickey | Physical Therapist | 3444 Kearny Villa Rd, Suite 200, San Diego, CA 92123-1959 | 2012-11-15 |
| 1194069278 | Justina Soltren | Physical Therapist | 3444 Kearny Villa Rd, Suite 200, San Diego, CA 92123-1959 | 2012-11-15 |
| 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 | 332900000X |
| Grouping | Suppliers |
| Classification | Non-Pharmacy Dispensing Site |
| A site other than a pharmacy that dispenses medicinal preparations under the supervision of a physician to patients for self-administration. (e.g. physician offices, ER, Urgent Care Centers, Rural Health Facilities, etc.) |
| Notes: Source: Developed by National Council for Prescription Drug Programs (NCPDP), National Home Infusion Association (NHIA), and Pharmacist Services Technical Advisory Coalition (PSTAC) [1/1/2006: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881058345 | Telehealth Clinical Services | Non-Pharmacy Dispensing Site | 6088 Bounty St, San Diego, CA 92120-2942 | 2016-04-11 |
| 1194139212 | Arj Medical, Inc. | Non-Pharmacy Dispensing Site | 3645 El Cajon Blvd, San Diego, CA 92104-1514 | 2014-06-17 |
| 1386914422 | South Bay Internal Medicine and Family Practice | Non-Pharmacy Dispensing Site | 374 H Street, 202, San Diego, CA 92107 | 2012-01-06 |
| 1497780480 | Planned Parenthood of The Pacific Southwest | Non-Pharmacy Dispensing Site | 2017 1st Ave Ste 100, San Diego, CA 92101-9001 | 2006-07-11 |
| 1912325622 | Arcana Sciences, Inc. | Non-Pharmacy Dispensing Site | 12250 El Camino Real, #108, San Diego, CA 92130-3076 | 2014-03-31 |
| 1750711610 | Oasis Md, Inc. | Non-Pharmacy Dispensing Site | 8901 Activity Rd, San Diego, CA 92126-4427 | 2013-11-13 |
| 1528405651 | Southern California Cardiology Medical Group, Inc. | Non-Pharmacy Dispensing Site | 6386 Alvarado Ct, Suite 101, San Diego, CA 92120-4905 | 2013-05-30 |
| 1598008583 | Stewart L. Frank Md, Inc. | Non-Pharmacy Dispensing Site | 4060 4th Ave, Suite 605, San Diego, CA 92103-2116 | 2013-03-28 |
| 1699032938 | Ocean Beach Medical Group | Non-Pharmacy Dispensing Site | 1947 Cable St, San Diego, CA 92107-2807 | 2012-04-11 |
| 1750650909 | Ron G. Soltero, M.d. Inc | Non-Pharmacy Dispensing Site | 4510 Executive Dr, Suite 105, San Diego, CA 92121-3021 | 2011-12-16 |
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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.